JODI F. JAYNE, MAGISTRATE JUDGE.
Plaintiff Teresa N. seeks judicial review of the decision of the Commissioner of the Social Security Administration denying her claim for supplemental security income
In reviewing a decision of the Commissioner, the Court is limited to determining whether the Commissioner applied the correct legal standards and whether the decision is supported by substantial evidence. See Grogan v. Barnhart, 399 F.3d 1257, 1261 (10th Cir. 2005). "Substantial evidence is more than a mere scintilla and is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Id. (citing Glass v. Shalala, 43 F.3d 1392, 1395 (10th Cir. 1994)). A decision "is not based on substantial evidence if it is overwhelmed by other evidence in the record or if there is a mere scintilla of evidence supporting it." Hamlin v. Barnhart, 365 F.3d 1208, 1214 (10th Cir. 2004) (quotations omitted). The Court must "meticulously examine the record as a whole, including anything that may undercut or detract from the ALJ's findings in order to determine if the substantiality test has been met." Grogan, 399 F.3d at 1261 (citing Washington v. Shalala, 37 F.3d 1437, 1439 (10th Cir. 1994)). The Court may neither reweigh the evidence nor substitute its judgment for that of the Commissioner. See Hackett v. Barnhart, 395 F.3d 1168, 1172 (10th Cir. 2005). Even if the Court might have reached a different conclusion, the Commissioner's decision stands so long as it is supported by substantial evidence. See White v. Barnhart, 287 F.3d 903, 908 (10th Cir. 2002).
Plaintiff, then a 52-year-old female, protectively applied for Title XVI supplemental security income benefits on October 17, 2014, alleging a disability onset date of October 17, 2014. R. 208. Plaintiff claimed that she was unable to work due to depression, being suicidal, migraines, skin lesions, sleeping problems, inability to be around people, headaches, inability to sit still, and being very nervous. R. 267. Plaintiff's claim for benefits was denied initially on March 17, 2015, and on reconsideration on May 20, 2015. Plaintiff then requested a hearing before an Administrative Law Judge ("ALJ"), and the ALJ conducted the hearing on December 7, 2016. The ALJ issued a decision on January 4, 2017, denying benefits and finding Plaintiff not disabled. The Appeals Council denied review, and Plaintiff appealed.
The ALJ found that Plaintiff had not engaged in substantial gainful activity since the application date of October 17, 2014. The ALJ found that Plaintiff had the following severe impairments: possible delusional disorder/Morgellon's disease. At step three, the ALJ found that Plaintiff did not have an impairment or combination of impairments of such severity to result in listing-level impairments. After evaluating the record evidence, the ALJ concluded as follows with respect to Plaintiff's residual functioning capacity ("RFC"):
R. 15 (emphasis added). The ALJ found that Plaintiff was unable to return to her past relevant work as a collection clerk. Based on the testimony of a vocational expert ("VE"), however, the ALJ found at step five that Plaintiff was capable of making a successful adjustment to other work that exits in significant numbers in the national economy. Accordingly, the ALJ concluded Plaintiff was not disabled.
Plaintiff raises four issues on appeal: (1) the ALJ erred in her treatment of the psychiatric medical opinions of consultative examiners Dr. Dennis Rawlings and Dr. Brian Snider, and the ALJ's mental RFC findings are therefore not supported by substantial evidence; (2) the ALJ's consistency findings are not supported by substantial evidence; (3) the ALJ failed to follow clear vocational testimony in favor of Plaintiff; and (4) the ALJ's appointment was invalid under the U.S. Constitution, rendering the decision invalid. The Court finds the ALJ erred by wholly ignoring Dr. Rawlings' medical opinion and that the error is not harmless. The Court does not reach the other arguments.
In her first proposition of error, Plaintiff contends that the ALJ committed error by: (1) improperly ignoring the medical opinion of Dr. Rawlings; and (2) improperly rejecting the medical opinion of Dr. Snider to the extent he found more severe mental limitations than those adopted by the ALJ.
On June 6, 2011, Dr. Rawlings conducted a mental status exam report of Plaintiff, which was considered by a different ALJ in a prior disability proceeding.
R. 411-12 (internal quotations omitted). Dr. Rawlings noted involuntary movement of twitching, trembling and shaking legs, continual scratchings and picking at herself. R. 412. He noted that Plaintiff's daughter, an adult college student, said this was "the way she is all the time" and that her skin condition had been present for a long time. R. 412, 417. He noted that "[s]he is presenting
Dr. Rawlings diagnosed Plaintiff with Delusional Disorder, Morgellon's Syndrome,
On February 17, 2015, Dr. Snider conducted a consultative examination of Plaintiff for purposes of the instant application. Consistent with Dr. Rawlings, Dr. Snider reported that Plaintiff felt "bugs crawling under her skin and that they will occasionally surface and that she will pick them out of her skin" and further reported that she had multiple scars on her face and body. R. 421. She reported pressure inside her head "like something was trying to get out" and described the bugs as "white, gooey, and elastic." R. 421. Dr. Snider stated that "[t]hese types of Somatic symptoms were noted in Dr. Rawlings' mental status exam report from 2011 included in the records provided by the [DDD]." R. 421. Dr. Snider reported significant past trauma, including being abducted and raped at gunpoint at age eighteen. R. 421.
Dr. Snider's diagnostic impressions were: Delusional Disorder (insect infestation under the skin); Rule Out Bipolar I Disorder, Most Recent Episode Depressed-Severe with Mood-Incongruent Psychotic Features; Posttraumatic Stress Disorder; and Cannabis Use Disorder. With respect to functional impairments, Dr. Snider concluded that Plaintiff would have "marked-severe difficulty concentrating and persisting through a normal work day due to her psychiatric symptoms;" and her "ability to maintain a normal workday and work week without interruptions from her psychiatric symptoms is likely markedly-severely impaired," and that she would have "marked-severe difficulty responding appropriately to coworkers, supervisors, and the public." R. 425.
The ALJ expressly refused to consider Dr. Rawlings' medical opinion. During the hearing, after testimony regarding the delusional disorder, the ALJ stated: "I can't, I won't consider evidence that's already been adjudicated, so I'm starting with, I'm looking at [] Dr. Snyder's report at C-5F." R. 177. Consistently, in the ALJ's written decision, she stated: "Additionally, the [ALJ] finds the consultative examination performed by Dennis A. Rawlings, Ph.D. on June 6, 2011 has been adjudicated in the previous unfavorable decision, as well as the treatment records of David L. Shadid." R. 21. Based on these statements, the record clearly indicates the ALJ failed to consider the opinion, rather than merely failed to discuss or weigh the opinion in her written decision.
The ALJ discussed Dr. Snider's opinion at length, including his proposed functional impairments. R. 17. But the ALJ gave "reduced weight" to Dr. Snider's opinion as to mental functioning, because "it appears to be only partially consistent with
In a published decision in 2004, the Tenth Circuit held that "even if a doctor's medical observations regarding a claimant's allegations of disability date from earlier, previously adjudicated periods, the doctor's observations are nevertheless relevant to the claimant's medical history and should be considered by the ALJ." Hamlin v. Barnhart, 365 F.3d 1208, 1215 (10th Cir. 2004). This language has resulted in reversal where an ALJ wholly ignored or refused to consider prior medical opinions regarding an ongoing condition alleged to be disabling in the plaintiff's pending disability proceeding. See, e.g., Schoonmaker v. Berryhill, No. CIV-16-1145-R, 2017 WL 4422597, at *3 (W.D. Okla. Oct. 5, 2017) (citing Hamlin, finding reversible legal error where ALJ ignored mental health opinion pre-dating alleged onset date, and where ignored medical opinion did not involve "some discrete easy-cure event that the ALJ would have necessarily discounted in her later disability determination"); Austin v. Colvin, No. CIV-13-467-SPS, 2015 WL 1209384, at *4 (E.D. Okla. Mar. 17, 2015) (finding reversible legal error where ALJ ignored medical opinion issued during period prior to the plaintiff's alleged onset date). See generally Farrell v. Colvin, No. 2:15-CV-09229-JTM, 2016 WL 4128452, at *5 (D. Kan. Aug. 3, 2016) (records from before amended onset date "are nonetheless part of Plaintiff's case record and should be considered").
Here, Dr. Rawlings' opinion discussed an ongoing mental health condition that was relevant to both proceedings. In fact, Dr. Rawlings provided the original diagnosis of the condition found by the ALJ to constitute a severe mental impairment — namely, possible delusional disorder/Morgellon's disease. This was also diagnosed by Dr. Snider in 2015. Yet the ALJ expressly disavowed any consideration of Dr. Rawlings' similar opinion in 2011, because it had already been "adjudicated." Hamlin and its progeny indicate that an unfavorable decision by one ALJ does not prevent a subsequent ALJ from reviewing medical records considered by the former ALJ. The medical record has not been "adjudicated"; the prior period of disability has. The Court finds the ALJ committed legal error by refusing to consider Dr. Rawlings' opinion. Notably, this case does not involve a mere failure to discuss, weigh, or explain the reasons for discounting a medical opinion; it involves an express refusal to consider a directly relevant mental health opinion.
The Court also concludes the error was not harmless. As explained above, Dr. Rawlings' examination findings and diagnoses were inconsistent with the mental RFC adopted by the ALJ, and consistent with Dr. Snider's mental functional impairments, which the ALJ rejected. Making the error more problematic, Dr. Snider himself discussed Plaintiff's symptoms being consistent with those reported to Dr. Rawlings in 2011. To fully examine and weigh Dr. Snider's opinion, the ALJ needed to consider Dr. Rawlings' prior opinions. Although an ALJ may find that consideration of Dr. Rawlings' opinion does not change the outcome, the Court cannot reach that conclusion in the first instance. Instead, the Court finds that a reasonable administrative factfinder who considered Dr. Rawlings' opinion may give more weight to Dr. Snider's subsequent opinion and/or impose more severe limitations in determining Plaintiff's mental RFC. Further, the vocational expert testified that the mental limitations imposed by Dr. Snider would eliminate competitive employment either singularly or in combination. R. 126-27. The Court cannot find harmless error in these circumstances. See Allen v. Barnhart, 357 F.3d 1140, 1145 (10th Cir. 2004) (harmless error doctrine applies only in the "exceptional circumstance" where the court could confidently say that no reasonable administrative factfinder could have resolved the factual matter in any other way); Schoonmaker, 2017 WL 4422597, at *3 (explaining that, in assessing harmlessness of failure to consider medical opinion, court looks to whether there is inconsistency between the omitted opinion and the ALJ's assessment).
For the foregoing reasons, the ALJ's decision finding Plaintiff not disabled is