JAMES P. HUTTON, Magistrate Judge.
BEFORE THE COURT are cross-motions for summary judgment. ECF Nos. 14 and 17. The parties have consented to proceed before a magistrate judge. ECF No. 6. After reviewing the administrative record and the parties' briefs, the court
Felt applied for supplemental security income (SSI) benefits on February 24, 2009. He alleged onset as of February 1, 2006 (Tr. 133-39). Benefits were denied initially (Tr. 90-93, 97-100) and on reconsideration (Tr. 94-95, 102-03). ALJ Caroline Siderius held a hearing on August 5, 2010 (Tr. 52-83) and issued an unfavorable decision on August 20, 2010 (Tr. 23-38). The Appeals Council denied review on February 10, 2012 (Tr. 1-5). The matter is now before the Court pursuant to 42 U.S.C. § 405(g). Plaintiff filed this action for judicial review on March 23, 2012. ECF Nos. 1 and 5.
The facts have been presented in the administrative hearing transcript, the ALJ's decision and the parties' briefs. They are only briefly summarized as necessary to explain the court's decision.
Felt was 42 years old when he applied for benefits. He has an eighth grade education and did not earn a GED. He has past work but at less than SGA levels (Tr. 25, 55-56, 74, 219). He alleges disability based on depression, personality disorder and borderline intellectual functioning (BIF) (Tr. 155). On appeal Felt alleges the ALJ should have found he is more mentally limited. ECF No. 15 at 9.
The Social Security Act (the Act) defines disability as the "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve months." 42 U.S.C. §§ 423 (d)(1)(A), 1382c(a)(3)(A). The Act also provides that a plaintiff shall be determined to be under a disability only if any impairments are of such severity that a plaintiff is not only unable to do previous work but cannot, considering plaintiff's age, education and work experiences, engage in any other substantial gainful work which exists in the national economy. 42 U.S.C. §§ 423 (d)(2)(A), 1382c(a)(3)(B). Thus, the definition of disability consists of both medical and vocational components. Edlund v. Massanari, 253 F.3d 1152, 1156 (9
The Commissioner has established a five-step sequential evaluation process or determining whether a person is disabled. 20 C.F.R. §§ 404.1520, 416.920. Step one determines if the person is engaged in substantial gainful activities. If so, benefits are denied. 20 C.F.R. §§ 404.1520(a)(4)(i), 416.920(a)(4)(i). If not, the decision maker proceeds to step two, which determines whether plaintiff has a medically severe impairment or combination of impairments. 20 C.F.R. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). If plaintiff does not have a severe impairment or combination of impairments, the disability claim is denied.
If the impairment is severe, the evaluation proceeds to the third step, which compares plaintiff's impairment with a number of listed impairments acknowledged by the Commissioner to be so severe as to preclude substantial gainful activity. 20 C.F.R. §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii); 20 C.F.R. §404 Subpt. P App. 1. If the impairment meets or equals one of the listed impairments, plaintiff is conclusively presumed to be disabled. If the impairment is not one conclusively presumed to be disabling, the evaluation proceeds to the fourth step, which determines whether the impairment prevents plaintiff from performing work which was performed in the past. If a plaintiff is able to perform previous work, that plaintiff is deemed not disabled. 20 C.F.R. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). At this step, plaintiff's residual capacity (RFC) is considered. If plaintiff cannot perform past relevant work, the fifth and final step in the process determines whether plaintiff is able to perform other work in the national economy in view of plaintiff's residual functional capacity, age, education and past work experience. 20 C.F.R. §§ 404.1520(a)(4)(v), 416.920(a)(4)(v); Bowen v. Yuckert, 482 U.S. 137 (1987).
The initial burden of proof rests upon plaintiff to establish a prima facie case of entitlement to disability benefits. Rhinehart v. Finch, 438 F.2d 920, 921 (9
Congress has provided a limited scope of judicial review of a Commissioner's decision. 42 U.S.C. § 405(g). A Court must uphold the Commissioner's decision, made through an ALJ, when the determination is not based on legal error and is supported by substantial evidence. See Jones v. Heckler, 760 F.2d 993, 995 (9
It is the role of the trier of fact, not this Court, to resolve conflicts in evidence. Richardson, 402 U.S. at 400. If evidence supports more than one rational interpretation, the Court may not substitute its judgment for that of the Commissioner. Tackett, 180 F.3d at 1097; Allen v. Heckler, 749 F.2d 577, 579 (9
At step one
Felt alleges the ALJ failed to properly weigh the opinions of examining psychologists W. Scott Mabee, Ph.D., and Nathan Henry, Psy.D. ECF No. 15 at 9-15. The Commissioner responds that the ALJ applied the correct legal standards and the decision is supported by substantial evidence. She asks the court to affirm. ECF No. 18 at 6-8.
Felt alleges the ALJ should have given more credit to the opinions of Dr. Mabee, a psychologist who evaluated him on four different occasions, than Dr. Henry, who evaluated him once. ECF No. 15 at 9-15. The Commissioner responds that the ALJ's reasons for failing to credit Dr. Mabee's contradicted opinions are specific, legitimate and supported by substantial evidence. ECF No. 18 at 6-15.
Amy Robinson, MS and Dr. Mabee (hereafter, Dr. Mabee) evaluated Felt July 10, 2007 (Tr. 294-99). Felt was diagnosed with major depressive disorder (recurrent, mild), personality disorder NOS with dependent, antisocial and narcissistic features, rule out malingering and rule out BIF. Cognitively, Felt was able to understand and follow simple directions (Tr. 297).
About three months later, on October 31, 2007, Dr. Mabee evaluated Felt again (Tr. 288-99). Dr. Mabee administered several tests, including the Minnesota Multiphasic Personality Inventory, second edition (MMPI-2). He deemed results "questionably valid," deferred diagnosis on Axis I and diagnosed personality disorder NOS with schizotypal and dependent features. Cognitively, Felt would have a difficult time understanding and following simple verbal and written instructions (Tr. 291). In both 2007 reports Dr. Mabee opined prognosis is poor; Felt has little insight and difficulty relating to others (Tr. 290-93, 363). Dr. Mabee assessed a GAF of 50-55 indicating moderate to serious symptoms or functional difficulty (Tr. 291).
Dr. Mabee evaluated Felt again October 7, 2008 (Tr. 396-405, partially repeated at 442-446). Felt said he started hearing voices and music but it "comes and goes" (Tr. 403). Dr. Mabee opined Felt's ability to follow simple one or two step instructions was mildly impaired. The ability to relate appropriately to coworkers and supervisors is markedly impaired (Tr. 398). He additionally assessed ten moderate impairments and a range of functioning between 55 and 65 (Tr. 397-98, 403).
Dr. Mabee last evaluated Felt September 2, 2009 (Tr. 482-87). He notes Felt was not receiving mental health treatment or medications. Dr. Mabee added the diagnoses of alcohol and cannabis abuse, as well as BIF. He assessed five marked and one severe impairment: the ability to exercise judgment and make decisions (Tr. 482-484). He rated Felt's ability to understand and follow simple one or two step instructions as mildly impaired, which the form defines as causing "no significant interference" (Tr. 484). Dr. Mabee deemed MMPI-2-RF results invalid due to over-reporting, but opined this reflects Felt's view of the severity of his problems rather than a motivation for secondary gain (Tr. 482-85).
The ALJ considered these evaluations, as well as those by David Pounds, Ph.D., and Dr. Henry.
Dr. Pounds evaluated Felt July 11, 2008 and completed his report July 25, 2008 (Tr. 363-68). He reviewed two of Dr. Mabee's reports, those in July and October 2007 (Tr. 363). After testing he opined Felt appeared capable of following simple instructions (Tr. 368).
Dr. Henry performed the most extensive evaluation, a complex psychological evaluation on June 12, 2010 (Tr. 488-507, 509-12). He reviewed all four of Dr. Mabee's reports and Dr. Pounds' (Tr. 488-89). Felt reported he tried to go to mental health but was told he did not meet the criteria (Tr. 488). He was currently involved with six women. He sometimes oversleeps if he has been "working too much." Felt was taking the bus to work at the Goodwill, a temporary job (Tr. 490-91, 493). Dr. Henry opined Felt's description of auditory hallucinations is "more characteristic of individuals who are attempting to feign psychosis" and suggestive of possible malingering for the purpose of secondary gain. Test results were inconsistent with other known information about Felt's cognitive functioning. Dr. Henry opined that "overall there is no reliable evidence to indicate significant cognitive impairment." He opined Felt does not suffer from a severe mental illness or cognitive impairment that might be expected to prevent him from being capable of obtaining and maintaining employment (Tr. 493, 497). He has a mild (defined as slight) limitation in the ability to understand remember simple instructions but can generally function pretty well. The ability to work around others is moderately limited but he is still able to function satisfactorily (Tr. 510-11).
The ALJ rejected Dr. Mabee's assessed marked and moderate limitations because he (Dr. Mabee) repeatedly reports Felt gave inconsistent effort and invalid test results, yet he appears to credit Felt's subjective reports. The ALJ notes Felt's activities of working with neighbors, reporting no problems working at the Goodwill and being involved with multiple girlfriends are inconsistent with assessed dire limitations. The October 2007 report assesses difficulty with even simple instructions, but it is not assessed in any of Dr. Mabee's other reports. The ALJ rejected Dr. Mabee's opinions because the reports are undermined by Felt's activities, internally inconsistent and based at least in part on Felt's unreliable statements (Tr. 37).
To aid in weighing the conflicting medical evidence, the ALJ evaluated Felt's credibility. Credibility determinations bear on evaluations of medical evidence when an ALJ is presented with conflicting medical opinions or inconsistency between a claimant's subjective complaints and diagnosed condition. See Webb v. Barnhart, 433 F.3d 683, 688 (9
Felt does not challenge the ALJ's negative credibility assessment, making it a verity on appeal. Carmickle v. Comm'r of Soc. Sec. Admin., 533 F.3d 1155, 1161 n. 2 (9
The ALJ may properly reject opinions, such as Dr. Mabee's, that are based on unreliable self-reports. Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9
The ALJ is also correct that Dr. Mabee's reports are inconsistent. As noted, Dr. Mabee's assessments of Felt's ability to follow simple and complex instructions vary widely (Tr. 37, 291, 297, 404, 484). The Commissioner accurately points out that on one subtest Felt got an outstanding score, "which differed from the rest of his testing presentation." This suggests Felt's lower test scores may not accurately reflect his abilities. ECF No. 18 at 10, referring to Tr. 290. Dr. Mabee opined Felt appeared "not to give sufficient effort on cognitive testing," yet in the same evaluation he opined Felt may have more difficulty with complex instructions and would have difficulty functioning in a typical work environment (Tr. 297-98). An ALJ may properly reject any opinion that is brief, conclusory and inadequately supported by clinical findings. Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9
The ALJ's reasons for rejecting more dire limitations are specific, legitimate and supported by substantial evidence. Her hypothetical included all of the limitations supported by the evidence. She limited Felt to simple, repetitive 1-3 step tasks, no detailed work, and only occasional contact with the public and coworkers (Tr. 34, 75). This is consistent with the record as a whole. There was no harmful error.
After review the Court finds the ALJ's decision is supported by substantial evidence and free of legal error.
The District Executive is directed to file this Order, provide copies to counsel, enter judgment in favor of defendant, and