GUSTAVE DIAMOND, District Judge.
AND NOW, this 23rd day of January, 2017, upon due consideration of the parties' cross-motions for summary judgment relating to plaintiffs request for review of the decision of the Commissioner of Social Security ("Commissioner") denying plaintiffs application for disability insurance benefits and supplemental security income ("SSI") under Titles II and XVI, respectively, of the Social Security Act ("Act"), IT IS ORDERED that the Commissioner's motion for summary judgment (Document No. 22) be, and the same hereby is, granted, and plaintiffs motion for summary judgment (Document No. 18) be, and the same hereby is, denied.
As the factfinder, an Administrative Law Judge ("ALJ") has an obligation to weigh all of the facts and evidence of record and may reject or discount any evidence if the ALJ explains the reasons for doing so.
Plaintiff protectively filed her pending applications for disability insurance benefits and SSI on June 13, 2012, alleging a disability onset date of May 25, 2012, due to depression, bipolar disorder, anxiety, mood disorder and scoliosis. Plaintiffs applications were denied initially. At plaintiffs request an ALJ held a hearing on January 17, 2014, at which plaintiff, represented by counsel, appeared and testified. On January 31, 2014, the ALJ issued a decision finding that plaintiff is not disabled. On June 16, 2015, the Appeals Council denied review making the ALJ's decision the final decision of the Commissioner.
Plaintiff was 50 years old on her alleged onset date and is classified as a person closely approaching advanced age under the regulations. 20 C.F.R. §§404.1563(d) and 416.963(e). She has at least a high school education and has past relevant work experience as a personal home health aide, a collections clerk and a receptionist, but she has not engaged in any substantial gainful activity since her alleged onset date.
After reviewing plaintiffs medical records and hearing testimony from plaintiff and a vocational expert, the ALJ concluded that plaintiff is not disabled within the meaning of the Act. The ALJ found that although plaintiff has the severe impairments of affective disorder, anxiety-related disorder, personality disorder, scoliosis, cervical and lumbar degenerative disc disease and obesity, those impairments, alone or in combination, do not meet or equal the criteria of any of the impairments listed at Appendix 1 of 20 C.F.R., Part 404, Subpart P.
The ALJ also found that plaintiff retains the residual functional capacity ("RFC") to engage in work at the light exertional level but with numerous restrictions necessary to accommodate her physical and mental impairments.
The Act defines "disability" as the inability to engage in substantial gainful activity by reason of a physical or mental impairment which can be expected to last for a continuous period of at least twelve months. 42 U.S.C. §§423(d)(1)(A) and 1382c(a)(3)(A). The impairment or impairments must be so severe that the claimant "is not only unable to do his previous work but cannot, considering his age, education and work experience, engage in any other kind of substantial gainful work which exists in the national economy 42 U.S.C. §§423(d)(2)(A) and §1382c(a)(3)(B).
The Commissioner has promulgated regulations incorporating a five-step sequential evaluation process for determining whether a claimant is under a disability.
Here, plaintiff raises a plethora of challenges to the ALJ's decision: (1) the ALJ erred at step 2 in finding that several of plaintiffs medically determinable impairments are "not severe" under the regulations; (2) the ALJ erred at step 3 in finding that plaintiffs severe mental impairments do not meet or equal the criteria of Listings 12.04 and 12.06; (3) the ALJ failed to give proper weight to the opinion of the consultative psychologist; (4) the ALJ's RFC finding fails to account for all of plaintiffs limitations; and, (5) the ALJ improperly evaluated plaintiffs credibility. Upon review, the court is satisfied that the ALJ correctly evaluated all of the evidence under the appropriate standards and that all of the ALJ's findings at every step of the sequential evaluation process are supported by substantial evidence.
Plaintiffs first argument is that the ALJ erred at step 2 of the sequential evaluation process in finding that several of plaintiffs medically determinable impairments, including hypertension, hyperlipidemia, pre-diabetes, vitamin D deficiency, hypothyroidism, and recurrent right-sided paresthesias and chronic severe headaches secondary to a benign brain tumor, are not "severe" within the meaning of the regulations.
At step two, the ALJ must determine whether the claimant has a "severe medically determinable physical . . . impairment that meets the duration requirement20 C.F.R. §§404.1520(a)(4)(ii) and 416.920(a)(4)(ii). An impairment is "severe" if it "significantly limits your physical or mental ability to do basic work activities." 20 C.F.R. §§404.1520(c) and 416.920(c). The duration requirement mandates that the severe impairment "must have lasted or must be expected to last for a continuous period of at least 12 months." 42 U.S.C. §§423(d)(1)(A) and 1382c(a)(3)(A); see also 20 C.F.R. §§404.1509 and 416.909.
The step two inquiry is a de minimus screening device and, if the evidence presents more than a slight abnormality, the step two requirement of severity is met and the sequential evaluation process should continue.
Here, while not an exacting one, it nevertheless was plaintiffs burden to show that her medically determinable impairments result in more than a de minimus effect on her ability to perform basic work functions. She did not meet that burden. As the ALJ explained in her decision, all of the impairments which she found to be not severe typically are well-controlled with minimal, conservative treatment and medication, and none cause more than minimal limitation in plaintiffs functioning. (R. 15-16). The court finds no error in the ALJ's thorough evaluation of these impairments at step 2.
It also is important to note that the ALJ did not deny plaintiffs claim at step 2.
Plaintiffs next argument is that the ALJ erred at step 3 of the sequential evaluation process in finding that plaintiffs mental impairments do not meet or equal Listing 12.04 for affective disorders and/or Listing 12.06 for anxiety related disorders. This argument also is without merit as substantial evidence supports the ALJ's step 3 finding.
At step 3, the ALJ must determine whether the claimant's impairment matches, or is equivalent to, one of the listed impairments.
The ALJ has the burden to identify the relevant listed impairments in the federal regulations that compare with the claimant's impairments and must "fully develop the record and explain his findings at step 3, including an analysis of whether and why [the claimant's] . . . impairments . . . are or are not equivalent in severity to one of the listed impairments."
Here, the ALJ correctly identified Listings 12.04 and 12.06, along with Listing 12.08 (personality related disorders), as those corresponding to plaintiffs mental impairments, and substantial evidence supports the ALJ's determination that plaintiff failed to meet the "B" criteria of any of those listings.
Here, the ALJ reviewed all of the evidence and determined that plaintiffs mental impairments result in
Upon review of the record, this court is satisfied that the ALJ more than adequately explained why she found that plaintiff has mild limitations in activities of daily living, moderate difficulties in social functioning, and moderate limitations in concentration, persistence and pace, and that her finding is supported by substantial evidence as outlined in her decision. (R. 18-20). Although plaintiff now contends that she has "marked" limitations in social functioning and concentration, persistence or pace, she points to no specific objective medical evidence in the record that would support such a finding. Moreover, the state agency psychological consultant expressly concluded that plaintiff has moderate, not marked limitations in those two functional areas and that she does not meet or equal the B criteria of any listing. (R. 91).
Because plaintiff does not have marked limitations in any functional area, the ALJ correctly found that she does not meet the "B" criteria of Listing 12.04, 12.06 and 12.08. The ALJ has the final responsibility for determining whether a plaintiffs impairments meet or equal the requirement of a listing, 20 C.F.R. §§404.1527(d)(2) and 416.927(d)(2), and it is not this court's function to re-weigh the evidence in rating the degree of functional limitations in the relevant areas. This court's task merely is to determine whether the ALJ's ratings are supported by substantial evidence, and is satisfied that they are in this case.
A social security claimant bears the burden of presenting medical findings equal in severity to a relevant listed impairment. See
Plaintiffs third argument is that the ALJ improperly evaluated the medical evidence. Specifically, plaintiff contends that the ALJ erred in rejecting the opinion of Dr. Nolan, who conducted a consultative psychological examination of plaintiff and concluded that plaintiff has marked to extreme limitations in a number of work-related functional areas and that her mental condition "renders her unable to meet the ordinary demands of any employment." (R. 714). The ALJ afforded Dr. Nolan's opinion limited weight and substantial evidence supports the ALJ's evaluation of this evidence.
The rules by which the ALJ is to evaluate the medical evidence are well-established under the Social Security Regulations and the law of this circuit. Opinions of treating physicians are entitled to substantial, and at times even controlling, weight. 20 C.F.R. §§404.1527(c)(2) and 416.927(c)(2);
Importantly, the opinion of any physician, including a treating physician, as to the claimant's residual functional capacity, or on the ultimate determination of disability, never is entitled to special significance. 20 C.F.R. §§404.1527(d) and 416.927(d); SSR 96-5p. "The law is clear . . . that the opinion of a treating physician does not bind the ALJ on the issue of functional capacity."
Here, the ALJ adhered to the foregoing standards in evaluating the medical evidence. The ALJ's decision specifically addressed the opinion evidence from Dr. Nolan and adequately explained why the ALJ was according his opinion "little weight." (R. 26-27). Specifically, the ALJ observed that Dr. Nolan's examination notes document "little objective evidence in support of the marked and extreme limitations assessed," that he did not have access to plaintiffs complete medical record and that his opinion is "quite inconsistent with the more moderate degree of limitation" assessed by other medical sources. (R. 27). Instead, Dr. Nolan's opinion "relied quite heavily" on plaintiffs own subjective reports of her symptoms and limitations, which Dr. Nolan "seemed to uncritically accept as true." (
The court finds no error in the ALJ's rejection of Dr. Nolan's unsupported opinion as to marked and extreme limitations. Initially, as already noted, it is for the ALJ alone to make the ultimate determination of disability, and the opinion of any medical source that a claimant is disabled is not entitled to any special significance.
The court also finds no error in the ALJ's decision to give more credence to the assessment of the state agency psychologist, than to that of Dr. Nolan. It is well-settled that "[ajlthough treating and examining physician opinions often deserve more weight than the opinions of doctors who review records . . . [sjtate agent opinions merit significant consideration as well."
It is axiomatic in social security cases that the ALJ must give some indication of the evidence that she rejects and the reasons for discounting that evidence.
Plaintiffs fourth argument is that the ALJ's RFC finding that plaintiff can perform light work with enumerated exceptions is not supported by substantial evidence. Plaintiff avers that the ALJ's RFC finding fails to account for plaintiffs moderate difficulties in concentration, persistence or pace. She also contends that she is unable to perform a full range of light work with an at-will sit/stand option. Upon review, this court is satisfied that the ALJ's RFC finding is supported by substantial evidence.
Residual functional capacity is defined as the most an individual still can do in a work setting despite the limitations caused by his impairments.
The court is satisfied that the ALJ's residual functional capacity finding in this case is supported by substantial evidence as outlined in the decision. (R. 20-28). Contrary to plaintiffs contention, the RFC finding adequately accommodates plaintiffs moderate difficulties in concentration, persistence and pace in the residual functional capacity by limiting her to "jobs that can be learned in one month, involve only repetitive or short-cycle tasks, and no more than occasional decision making or judgment; no production rate or pace work; [and] no more than occasional work setting changes." (R. 20). See, e.g.,
Likewise, there is no merit to plaintiffs complaint that she cannot perform the "full range" of light work with an at-will sit/stand option, as the ALJ did not find that plaintiff can perform the full range of light work, but instead found she can perform light work with the additional limitations enumerated, including the at-will sit/stand option, and the vocational expert explicitly testified that plaintiff would be able to perform the light jobs he identified with those restrictions.
Plaintiffs final argument is that the ALJ improperly evaluated plaintiffs subjective statements as to the severity of her pain and the limitations arising therefrom. However, the court is satisfied that the ALJ adhered to the appropriate standards in evaluating plaintiffs statements regarding her pain and limitations and more than adequately explained the reasons underlying her credibility determination.
As required under the regulations, the ALJ in this case properly considered plaintiffs subjective statements as to the intensity, persistence and limiting effects of her symptoms in light of the objective medical evidence, as well as all of the other factors relevant to plaintiffs symptoms as set forth in 20 C.F.R. §§404.1529(c) and 416.929(c). See also SSR 96-7p. The ALJ thoroughly explained in the decision why plaintiffs statements concerning "the intensity, persistence and limiting effects of her symptoms are not entirely credible." (R. 21-25). Specifically, the ALJ determined that the medical evidence does not support the degree of functional limitations alleged by plaintiff and noted that plaintiffs "treatment has been routine, conservative and notably effective when [plaintiff] is compliant." (R. 27). She further observed that plaintiffs admitted capacity to engage in certain activities of daily living is "suggestive of a greater functional capacity than alleged." (
To the extent plaintiff alleges that the ALJ improperly relied on plaintiffs GAF scores
Moreover, while it is true, as plaintiff now asserts, that sporadic and transitory activities of daily living cannot be used to show an ability to engage in substantial gainful activity, see
It also is important to emphasize that the ALJ did not reject plaintiffs testimony entirely. Rather, to the extent plaintiffs statements as to the limitations arising from her impairments are supported by the medical and other relevant evidence, the ALJ's residual functional capacity finding accommodated those limitations. Only to the extent that plaintiffs allegations are not so supported did the ALJ find them to be not credible.
The record demonstrates that the ALJ adhered to the appropriate standards in evaluating plaintiffs credibility and it is not this court's function to re-weigh the evidence and arrive at its own credibility determination. See
After carefully and methodically considering all of the medical evidence of record and plaintiffs testimony, the ALJ determined that plaintiff is not disabled within the meaning of the Act. The ALJ's findings and conclusions are supported by substantial evidence and are not otherwise erroneous. Accordingly, the decision of the Commissioner must be affirmed.