Caitlin Favata v. Kilolo Kijakazi, Ph.D., P.S.W. Acting Commissioner, Social Security Administration

2023 DNH 148
District Court, D. New Hampshire·Decided December 5, 2023·No. 22-cv-00552-PB·Published·Cited by 1 cases

Opinion

U N I T E D S T AT E S D I S T R I C T C O U R T F O R T H E D I S T R I C T O F N E W H AM P S H I R E

C a it lin F a v a t a

v. Ca se No. 1:22-cv-00552-P B Opin ion No. 2023 DNH 148 Kilo lo K ija k a z i, P h .D ., P .S .W. Ac t in g C o m m i s s io n e r , S o c ia l S e c u r it y Ad m in is t r a t io n

ME MO R AN D U M AN D O R D E R Ca it lin F a va t a ch a llen ges t h e Socia l Secu r it y Adm in ist r a t ion ’s den ia l of h er a pplica t ion for disa bilit y in su r a n ce ben efit s u n der 42 U.S.C. § 405(g). Sh e a r gu es t h a t t h e Adm in ist r a t ive La w J u dge (ALJ ) fa iled t o pr oper ly eva lu a t e m edica l opin ion eviden ce wh en det er m in in g F a va t a ’s r esidu a l fu n ct ion a l ca pa cit y (RF C), wh ich in t u r n a ffect ed h er fin a l det er m in a t ion a s t o F a va t a ’s disa bilit y st a t u s. Th e Com m ission er seeks a n or der a ffir m in g t h e ALJ ’s decision . F or t h e followin g r ea son s, I gr a n t F a va t a ’s m ot ion a n d den y t h e Com m ission er ’s m ot ion .

I. B AC KG R O U N D A. P r oced u r a l F a ct s F a va t a is a t h ir t y-on e-yea r -old wom a n wh o h a s com plet ed som e college cla sses a n d wor ked m ost r ecen t ly a s a deliver y per son for In st a ca r t . Tr . 46. Sh e a pplied for disa bilit y ben efit s u n der Tit le II of t h e Socia l Secu r it y Act in

Decem ber 2019, iden t ifyin g n u m er ou s ph ysica l a n d m en t a l a ilm en t s—a lower ba ck t u m or , fibr om ya lgia , ju ven ile r h eu m a t oid a r t h r it is, depr ession , a n xiet y disor der , pa n ic disor der , ca r pa l t u n n el syn dr om e, ea r ly on set m en opa u se, m igr a in es, a ddict ion disor der , a n d a lower ba ck in ju r y fr om a fa ll—t h a t lim it h er a bilit y t o wor k. Tr . 74. Sh e la t er a m en ded h er a lleged disa bilit y on set da t e t o J a n u a r y 2017, Tr . 13, a n d a dded a n a ddit ion a l dia gn osis of bor der lin e per son a lit y disor der , Tr . 87-88.

Disa bilit y Det er m in a t ion Ser vices (DDS) den ied F a va t a ’s in it ia l cla im in Ma r ch 2021, Tr . 74-86, a n d h er r equ est for r econ sider a t ion t h a t J u n e, Tr . 87-98. F a va t a t h en r equ est ed a h ea r in g befor e a n ALJ , wh ich wa s h eld t eleph on ica lly in Novem ber 2021. Tr . 38-72. Aft er h ea r in g t est im on y fr om F a va t a a n d a voca t ion a l exper t (VE ), t h e ALJ det er m in ed t h a t F a va t a wa s n ot disa bled a n d den ied h er cla im . Tr . 31. Th e Appea ls Cou n cil t h en den ied h er r equ est for r eview in Novem ber , r en der in g t h e ALJ ’s decision t h e fin a l decision of t h e Com m ission er . Tr . 1. B. Me d ic a l E v id e n c e a n d AL J D e t e r m i n a t io n Th e ALJ followed t h e t ypica l “five-st ep sequ en t ia l eva lu a t ion pr ocess”

for det er m in in g wh et h er a n in dividu a l qu a lifies for disa bilit y ben efit s a s r equ ir ed by 20 C.F .R. § 404.1520. At t h e fir st st ep, t h e ALJ con clu ded t h a t F a va t a “h a [d] n ot en ga ged in su bst a n t ia l ga in fu l a ct ivit y sin ce t h e a m en ded a lleged on set da y of J a n u a r y 1, 2017.” Tr . 15; see § 404.1520(a )(4)(i). At st ep

t wo, sh e det er m in ed t h a t sever a l of F a va t a ’s dia gn oses—h er lower ba ck t u m or , fibr om ya lgia , ju ven ile r h eu m a t oid a r t h r it is, depr ession , a n xiet y, per son a lit y disor der , m igr a in es, a n d su bst a n ce a bu se—con st it u t ed “sever e im pa ir m en t s” u n der 20 C.F .R. § 404.1520(c), wh ile h er ca r pa l t u n n el syn dr om e, obst r u ct ive sleep a pn ea , a n d ea r ly on set m en opa u se did n ot . Tr . 16; see § 404.1520(a )(4)(ii).

At t h e t h ir d st ep, t h e ALJ con clu ded t h a t F a va t a “[did] n ot h a ve a n im pa ir m en t or com bin a t ion of im pa ir m en t s t h a t m eet s or m edica lly equ a ls t h e sever it y” of a n y of t h e im pa ir m en t s en u m er a t ed in t h e a gen cy’s r egu la t ion s. Tr . 17; see § 404.1520(a )(4)(iii); 20 C.F .R., P a r t 404, Su bpa r t P , Appen dix 1. As a pa r t of h er a n a lysis, t h e ALJ con sider ed F a va t a ’s m en t a l im pa ir m en t s a n d fou n d t h a t t h ey on ly “m oder a t e[ly] lim it [ed]” h er m en t a l fu n ct ion in g in fou r en u m er a t ed a r ea s, k n own a s t h e “B” cr it er ia : (1) “u n der st a n din g, r em em ber in g, or a pplyin g in for m a t ion ”; (2) “in t er a ct in g wit h ot h er s”; (3) “con cen t r a t in g, per sist in g or m a in t a in in g pa ce”; a n d (4) “a da pt in g or m a n a gin g on eself.” Tr . 18-19. Beca u se t h ese lim it a t ion s wer e n eit h er “m a r ked” n or “ext r em e,” t h e ALJ con clu ded t h a t F a va t a ’s m en t a l im pa ir m en t s did n ot m eet or m edica lly equ a l t h e disa bilit y list in gs for depr essive, bipola r a n d r ela t ed disor der s; a n xiet y a n d obsessive-com pu lsive disor der s; or per son a lit y a n d im pu lse-con t r ol disor der s. Tr . 18-19; see 20 C.F .R., P a r t 404, Su bpa r t P , Appen dix 1, §§ 12.04, 12.06, 12.08.

Th e ALJ t h en pr oceeded t o t h e fou r t h st ep of h er a n a lysis, wh ich r equ ir ed h er t o det er m in e wh et h er F a va t a h a d t h e RF C t o per for m t h e r equ ir em en t s of h er pa st r eleva n t wor k. Tr . 29; see § 404.1520(a )(4)(iv). In det er m in in g F a va t a ’s RF C, t h e ALJ r elied on F a va t a ’s own st a t em en t s a s well a s m edica l opin ion eviden ce, in clu din g, a s r eleva n t t o t h is a ppea l, opin ion s by t wo st a t e a gen cy psych ologica l con su lt a n t s: La u r a La n der m a n , P h .D., wh o pr ovided h er opin ion du r in g F a va t a ’s in it ia l cla im befor e DDS, a n d Cr a ig St en slie, P h .D. wh o wa s con su lt ed du r in g r econ sider a t ion of F a va t a ’s cla im . Tr . 19-29.

Dr . La n der m a n a ssessed F a va t a ’s m en t a l lim it a t ion s bot h wit h r espect t o t h e B cr it er ia , wh ich a r e u sed on ly a t st eps t wo a n d t h r ee, a n d F a va t a ’s Men t a l Residu a l F u n ct ion a l Ca pa cit y (MRF C), wh ich is u sed a t st eps fou r a n d five. See Tr . 78-79, 82. As t o t h e B cr it er ia , Dr . La n der m a n det er m in ed t h a t F a va t a wa s m oder a t ely lim it ed in a ll fou r cr it er ia , in clu din g h er a bilit y t o “u n der st a n d, r em em ber , or a pply in for m a t ion .” Tr . 78-79. Th en , in det er m in in g F a va t a ’s MRF C, sh e con clu ded t h a t F a va t a wa s n ot sign ifica n t ly lim it ed in h er a bilit y t o u n der st a n d a n d r em em ber “ver y sh or t a n d sim ple in st r u ct ion s” bu t t h a t sh e wa s m oder a t ely lim it ed in h er a bilit y t o u n der st a n d a n d r em em ber “det a iled” in st r u ct ion s. Tr . 82. Sh e t h en st a t ed in t h e n a r r a t ive por t ion of h er MRF C r epor t t h a t F a va t a wa s “[a ]ble t o

u n der st a n d[,] r eca ll[,] a n d ca r r y ou t sh or t a n d sim ple in st r u ct ion s bu t n ot m or e det a iled on es on a con sist en t ba sis.” Tr . 82.

Dr . St en slie a gr eed wit h Dr . La n der m a n t h a t F a va t a wa s m oder a t ely lim it ed in t h r ee of t h e fou r B cr it er ia , bu t h e con clu ded t h a t sh e wa s on ly m ildly lim it ed in h er a bilit y t o “[u ]n der st a n d, r em em ber , or a pply in for m a t ion .” Tr . 90. H e a lso differ ed fr om Dr . La n der m a n in a ssessin g F a va t a ’s MRF C, fin din g t h a t F a va t a exper ien ced n o lim it a t ion s in h er u n der st a n din g a n d r em em ber in g a n d wa s “a ble t o m a n a ge a ll in st r u ct ion s.” Tr . 94-95.

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Caitlin Favata v. Kilolo Kijakazi, Ph.D., P.S.W. Acting Commissioner, Social Security Administration, 2023 DNH 148 (D.N.H. 2023).

2023 DNH 148 (Caitlin Favata v. Kilolo Kijakazi, Ph.D., P.S.W. Acting Commissioner, Social Security Administration) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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