ALAN N. BLOCH, District Judge.
AND NOW, this 23
Therefore, IT IS HEREBY ORDERED that Plaintiff's Motion Summary Judgment (Doc. No. 10) is DENIED and Defendant's Motion for Summary Judgment (Doc. No. 14) is GRANTED.
First, Plaintiff argues that that ALJ erred in finding that Plaintiff's impairments do not meet the severity of one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1, at Step Three of the sequential analysis. Specifically, Plaintiff asserts that the ALJ's "finding is incorrect with regard to section 12.04 and that his impairments, singly and in combination, do meet or medically equal the criteria of the listings in this section." (Doc. No. 13, at 5). Indeed, because the ALJ found that Plaintiff has several severe impairments, including borderline intellectual functioning, anxiety, dysthymic disorder, and depression with psychotic features, Plaintiff does have a condition or conditions that could potentially qualify as an affective disorder under Listing 12.04. (R. 13). Plaintiff argues that the evidence establishes that his condition or conditions meet the requirements of Listing 12.04.
The statute provides that the level of severity for the disorders of Listing 12.04 "is met when the requirements in both A and B are satisfied, or when the requirements in C are satisfied." 20 C.F.R. Pt. 404, Subpt. P, App. 1, § 12.04. As the ALJ explained in his analysis of this issue, in order to satisfy the paragraph B criteria of Listing 12.04, Plaintiff's impairments had to result in at least two of four of the following limitations: marked restriction of activities of daily living; marked difficulties in maintaining social functioning; marked difficulties in maintaining concentration, persistence, or pace; or repeated episodes of decompensation, each of extended duration. (R. 14). The Court notes that the ALJ then adequately discussed Plaintiff's various symptoms and his treatment, but ultimately found that the above-stated requirements were not met or medically equaled. (R. 14). The ALJ clearly and thoroughly addressed each of the above elements and concluded that Plaintiff's limitations included the following: mild restrictions in activities of daily living; moderate difficulties in social functioning; moderate difficulties with regard to concentration, persistence, or pace; and that Plaintiff had experienced no episodes of decompensation of extended duration. (R. 14-15). Accordingly, because Plaintiff's mental impairments did not cause at least two marked limitations, or one marked limitation and repeated episodes of decompensation of extended duration, the Court finds that the ALJ appropriately found that the paragraph B criteria of Listing 12.04 were not satisfied. (R. 16). Additionally, there is no evidence, nor does Plaintiff allege, that he meets the paragraph C criteria. (R. 16). Thus, the Court finds no merit in Plaintiff's argument that his impairments meet the severity of Listing 12.04.
Plaintiff's second argument is that the ALJ erred in evaluating his credibility. In support of this claim, Plaintiff contends, in essence, that the ALJ misconstrued the evidence of record. In determining whether a claimant is disabled, the ALJ must consider all of a claimant's symptoms and the extent to which the symptoms can reasonably be accepted as consistent with the objective medical evidence.
In his decision, the ALJ discussed, at significant length, Plaintiff's medical treatment and Plaintiff's own statements in connection with his alleged impairments. The ALJ found that Plaintiff has a number of severe impairments, as set forth,
Plaintiff, on the other hand, contends that the ALJ's position is contrary to the evidence of record. Specifically, Plaintiff cites records from Glade Run Lutheran Services, which he says document "continual episodes of decompensation." (Doc. No. 13, at 8). The Court notes that "episodes of decompensation" are defined as "exacerbations or temporary increases in symptoms or signs accompanied by a loss of adaptive functioning . . . . that would ordinarily require increased treatment or a less stressful situation . . . . and may be inferred from medical records showing significant alteration in medication; or documentation of the need for a more structured psychological support system (e.g., hospitalizations, placement in a halfway house, or a highly structured and directing household)." 20 C.F.R. Part 404, Subpart P, App. 1, § 12.00(C)(4). The evidence cited by Plaintiff does not indicate the existence of any such episodes.
Plaintiff also claims that the ALJ misinterpreted the evidence of record because the ALJ cited to a psychiatrist note from late 2012 showing that Plaintiff's mood was good and that he was stable, but the ALJ did not reference therapist notes from near that time frame which seemed to indicate a regression in his progress. Plaintiff, however, takes the ALJ's comment out of context. The notes to which the ALJ referred in this instance were included in the ALJ's discussion of Plaintiff's medications. Since such medications were prescribed by Plaintiff's psychiatrist, not by his therapist, it was appropriate for the ALJ to focus on the prescribing psychiatrist's notes in this section of his discussion. (R. 19). Moreover, the ALJ did make repeated references to Plaintiff's therapy notes in his decision, including these very notes that Plaintiff cites. (R. 15, 18). Although it appears that the ALJ mistakenly stated that the November note at issue was dated 2011 rather than 2012, the notes that the ALJ discussed directly before and after that November note are dated October and December of 2012, and the substance of the ALJ's discussion clearly refers to the note from November, 2012. (R. 18). Therefore, the Court does not agree that the ALJ misinterpreted the evidence of record as Plaintiff alleges.
In the end, the ALJ found, after careful consideration of all the evidence, that Plaintiff's "medically determinable impairments could reasonably be expected to cause the alleged symptoms; however, [Plaintiff's] statements concerning the intensity, persistence and limiting effects of these symptoms are not entirely credible" for the reasons he provides in his decision. (R. 18). The Court finds that the ALJ did not err in evaluating Plaintiff's subjective allegations because he thoroughly reviewed them in accordance with the regulations, and he provided sufficient explanation as to why he found those allegations to be not entirely credible.
As to the third issue, the Court finds no merit in Plaintiff's contention that the ALJ improperly weighed the opinions rendered by treating psychiatrist Linda Humphreys, M.D., from September, 2011, and state agency psychologist Sandra Banks, Ph.D., from January, 2012. (R. 53-72, 255-60). It is well-established that "[t]he ALJ—not treating or examining physicians or State agency consultants—must make the ultimate disability and RFC determinations."
The Court finds that the ALJ did not, as Plaintiff alleges, improperly consider the judgment of Dr. Humphreys in formulating Plaintiff's RFC. Rather, the ALJ fulfilled his duty as fact-finder to evaluate Dr. Humphreys' opinion, considering a number of factors, and in light of all the evidence presented in the record.
Moreover, the opinion of Dr. Humphreys at issue here consists of a "Report of Physical/Mental Examination" that was simply filled out by the doctor. (R. 255-260). The form largely consists of options to check and blanks to be filled in by hand. The Court of Appeals for the Third Circuit has stated that "[f]orm reports in which a physician's obligation is only to check a box or fill in a blank are weak evidence at best."
Plaintiff also appears to contend that the ALJ erred in relying on the opinion of state agency psychologist Sandra Banks, Ph.D., in formulating Plaintiff's RFC. (R. 53-72). In his determination, the ALJ pointed out that Dr. Banks' opinion, from January, 2012, found Plaintiff to have "no more than moderate limitations in any work-related function." (R. 20). The ALJ gave Dr. Banks' opinion "great weight," noting that that opinion "is generally consistent with treating psychiatrist records which show the claimant's mood was good and he denied auditory hallucinations when he was taking his medication, as well as GAF assessments from his treatment providers of 52 to 59, indicating no more than moderate symptoms or limitations." (R. 20). Although Plaintiff would prefer that the Court disregard Dr. Banks' opinion, the Court of Appeals for the Third Circuit has stated that, in making an RFC determination, an ALJ may give more weight to a non-examining professional's opinion if that opinion is better supported by the record.
The Court further notes that the ALJ also gave "some weight" to the January, 2012, opinion of consulting psychologist Mark N. Snyder, M.A. (R. 20). Dr. Snyder administered intelligence testing to Plaintiff and concluded that he "had no limitations understanding, remembering and carrying out instructions, slight limitations interacting appropriately with the public, and no more than slight limitations in other workplace functions." (R. 20). While the ALJ noted that Dr. Snyder's opinion is consistent with an overall finding that Plaintiff can work, the ALJ also cautioned that his "therapist and psychiatric progress notes show [Plaintiff] experiences somewhat greater, though not disabling, limitations." (R. 20). Therefore, the ALJ formulated an RFC that "is in fact more restrictive than the medical source statement provided by Dr. Snyder." (R. 20).
Thus, upon review, the Court finds that the ALJ properly discharged his duty to address not just Dr. Humphreys' opinion, or Dr. Banks' opinion, but also the other evidence presented in the record. Throughout his decision, the ALJ clearly considered all the relevant evidence, provided discussion of the evidence to support his evaluation, and ultimately concluded that certain opinions of record were not supported by the evidence as a whole. Thus, the Court finds that substantial evidence supports the ALJ's evaluation of the various opinions presented and his decisions as to the weight he gave to those opinions in making his ultimate determinations regarding Plaintiff's RFC.
Finally, the Court finds no merit in Plaintiff's argument that—because the ALJ allegedly failed to include all the limitations supported by the record in his RFC—the hypothetical question to the VE was incomplete. In fact, the hypothetical question to the VE must accurately portray the claimant's impairments, but such question need only reflect those impairments that are adequately supported by the record.
As discussed,
Plaintiff argues, however, that the ALJ should have instead relied upon the VE's responses to the ALJ's follow-up questions. Those hypothetical questions included additional limitations of an inability to regularly report to work, being off-task ten to fifteen percent of the time, and reacting inappropriately to supervisors. (R. 50-51). While he did pose those follow-up questions at the administrative hearing, when the ALJ ultimately formulated Plaintiff's RFC, he concluded that such additional restrictions did not need to be included therein.
In sum, the ALJ addressed all relevant evidence in the record, including full consideration of the opinion evidence, and he thoroughly discussed the basis for his RFC finding. After careful review of the record, the Court finds that the ALJ did not err in concluding that Plaintiff's impairments failed to meet the severity of Listing 12.04. Additionally, the Court finds that there is substantial evidence to support the ALJ's reasons for not giving controlling weight to certain opinion evidence in the record, as well as his decision to give greater weight to other opinion evidence in reaching his final determination. Finally, the Court finds that the ALJ did not err in assessing Plaintiff's credibility, nor did the ALJ err in posing his hypothetical question to the VE. Accordingly, the Court affirms.