London v. Comm'r of Soc. Sec.
Opinion
ELIZABETH A. WOLFORD, United States District Judge
INTRODUCTION
Represented by counsel, Plaintiff Scott London ("Plaintiff") brings this action pursuant to Titles II and XVI of the Social Security Act (the "Act"), seeking review of the final decision of the Commissioner of Social Security (the "Commissioner," or "Defendant") denying his applications for disability insurance benefits ("DIB") and supplemental security income ("SSI"). (Dkt. 1). This Court has jurisdiction over the matter pursuant to
BACKGROUND
Plaintiff protectively filed his applications for DIB and SSI on July 24, 2014. (Dkt. 6 at 159-165).2 In his applications, Plaintiff alleged disability beginning January 1, 2012, due to major depression, anxiety disorder, and attention deficient disorder. (Id. at 67, 187). Plaintiff's applications were initially denied on November 18, 2014. (Id. at 81-88). At Plaintiff's request, a video hearing was held before administrative law judge ("ALJ") Rosanne Dummer at NHC Falls Church, Virginia, on January 19, 2017. (Id. at 96-97, 30-64). Plaintiff appeared and testified in Buffalo, New York. (Id. at 13). On January 30, 2017, the ALJ issued an unfavorable decision. (Id. at 10-26). Plaintiff requested Appeals Council review; his request was denied on August 7, 2017, making the ALJ's determination the Commissioner's final decision. (Id. at 4-9). This action followed.
LEGAL STANDARD
I. District Court Review
"In reviewing a final decision of the [Social Security Administration *100("SSA") ], this Court is limited to determining whether the SSA's conclusions were supported by substantial evidence in the record and were based on a correct legal standard." Talavera v. Astrue ,
II. Disability Determination
An ALJ follows a five-step sequential evaluation to determine whether a claimant is disabled within the meaning of the Act. See Parker v. City of New York ,
At step three, the ALJ examines whether a claimant's impairment meets or medically equals the criteria of a listed impairment in Appendix 1 of Subpart P of Regulation No. 4 (the "Listings").
Free access — add to your briefcase to read the full text and ask questions with AI
ELIZABETH A. WOLFORD, United States District Judge
INTRODUCTION
Represented by counsel, Plaintiff Scott London ("Plaintiff") brings this action pursuant to Titles II and XVI of the Social Security Act (the "Act"), seeking review of the final decision of the Commissioner of Social Security (the "Commissioner," or "Defendant") denying his applications for disability insurance benefits ("DIB") and supplemental security income ("SSI"). (Dkt. 1). This Court has jurisdiction over the matter pursuant to
BACKGROUND
Plaintiff protectively filed his applications for DIB and SSI on July 24, 2014. (Dkt. 6 at 159-165).2 In his applications, Plaintiff alleged disability beginning January 1, 2012, due to major depression, anxiety disorder, and attention deficient disorder. (Id. at 67, 187). Plaintiff's applications were initially denied on November 18, 2014. (Id. at 81-88). At Plaintiff's request, a video hearing was held before administrative law judge ("ALJ") Rosanne Dummer at NHC Falls Church, Virginia, on January 19, 2017. (Id. at 96-97, 30-64). Plaintiff appeared and testified in Buffalo, New York. (Id. at 13). On January 30, 2017, the ALJ issued an unfavorable decision. (Id. at 10-26). Plaintiff requested Appeals Council review; his request was denied on August 7, 2017, making the ALJ's determination the Commissioner's final decision. (Id. at 4-9). This action followed.
LEGAL STANDARD
I. District Court Review
"In reviewing a final decision of the [Social Security Administration *100("SSA") ], this Court is limited to determining whether the SSA's conclusions were supported by substantial evidence in the record and were based on a correct legal standard." Talavera v. Astrue ,
II. Disability Determination
An ALJ follows a five-step sequential evaluation to determine whether a claimant is disabled within the meaning of the Act. See Parker v. City of New York ,
At step three, the ALJ examines whether a claimant's impairment meets or medically equals the criteria of a listed impairment in Appendix 1 of Subpart P of Regulation No. 4 (the "Listings").
The ALJ then proceeds to step four and determines whether the claimant's RFC permits the claimant to perform the requirements of his or her past relevant work.
*101(quotation omitted); see also
DISCUSSION
I. The ALJ's Decision
In determining whether Plaintiff was disabled, the ALJ applied the five-step sequential evaluation set forth in
At step two, the ALJ found that Plaintiff suffered from the severe impairments of depressive disorder and anxiety disorder. (Id. ). The ALJ further found that Plaintiff's medically determinable impairments of: a possible nonverbal learning disorder; slight vision problem(s); seasonal allergies; enlarged prostate; diabetes ; obesity ; and some substance abuse were non-severe. (Id. at 15-16).
At step three, the ALJ found that Plaintiff did not have an impairment or combination of impairments that met or medically equaled the severity of any Listing. (Id. at 16). The ALJ particularly considered the criteria of Listing 12.00, paragraphs B and C, in reaching her conclusion. (Id. at 16-17).
Before proceeding to step four, the ALJ determined that Plaintiff retained the RFC to perform a full range of work at all exertional levels, as defined in
[Plaintiff] could understand, remember, and carry out instructions for routine, repetitive type tasks, commensurate with unskilled work; he could sustain attention and concentration for at least two hour segments in an eight hour day. [Plaintiff] could tolerate brief and superficial contact with others; he could adapt to routine changes in the work setting for routine, repetitive type unskilled work.
(Id. at 17). At step four, the ALJ found that Plaintiff was unable to perform any past relevant work. (Id. at 24).
At step five, the ALJ relied on the testimony of a vocational expert ("VE") to conclude that, considering Plaintiff's age, education, work experience, and RFC, there were jobs that exist in significant numbers in the national economy that Plaintiff could perform, including the representative occupations of laundry worker, warehouse worker, packer, cleaner, assembler, and machine tender. (Id. at 24-25). Accordingly, the ALJ found that Plaintiff was not disabled as defined in the Act. (Id. at 26).
II. The Commissioner's Determination is Supported by Substantial Evidence and Free from Legal Error
Plaintiff asks the Court to remand this matter to the Commissioner, arguing that the Commissioner's Determination is not supported by substantial evidence, because: (1) the ALJ failed to grant proper weight to the treating source opinion of Patrick Hurley, M.D.; (2) the ALJ's determination as to the Plaintiff's RFC is unsupported by the evidence in the record; and (3) the ALJ erred in finding that Plaintiff's nonverbal learning disability is not a severe impairment. (Dkt. 9-1 at 12-19). The Court has considered each of these arguments and, for the reasons discussed below, finds them without merit.
A. Weighing of Dr. Hurley's Opinion
Because Plaintiff's claim was filed before March 27, 2017, the ALJ was *102required to apply the treating physician rule, under which a treating physician's opinion is entitled to "controlling weight" when it is "well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the] case record[.]"
(i) the frequency of examination and the length, nature and extent of the treatment relationship; (ii) the evidence in support of the treating physician's opinion; (iii) the consistency of the opinion with the record as a whole; (iv) whether the opinion is from a specialist; and (v) other factors brought to the Social Security Administration's attention that tend to support or contradict the opinion.
Whatever weight the ALJ assigns to the treating physician's opinion, he must "give good reasons in [his] notice of determination or decision for the weight [he gives to the] treating source's medical opinion."
As noted by the ALJ in her written determination, Plaintiff began treating with Dr. Hurley, a psychiatrist, in September 2015. (Dkt. 6 at 19). The determination includes a detailed outline of Dr. Hurley's treatment of Plaintiff, starting in September 2015 and continuing through January 2017. (Id. at 19-20). The determination also contains a discussion of Dr. Hurley's January 17, 2016 functional capacity assessment questionnaire, in which Plaintiff was diagnosed with major depressive disorder in partial remission and generalized anxiety disorder. Dr. Hurley opined that Plaintiff: had a "modest response" to antidepressants and anti-anxiety medications; exhibited 23 signs and symptoms; for mental abilities to do unskilled work, was "unable to meet competitive standards" in eight areas, and was "seriously limited, but not precluded" in one area; and for mental abilities to do semiskilled to skilled work, was "unable to meet competitive standards" in six areas, and "seriously limited, but not precluded" in two areas. Dr. Hurley further opined that Plaintiff would be absent from work "more than four days per month," and that his symptoms and *103functional limitations were reasonably consistent with his impairments. (See Dkt. 6 at 23, 323-27).
The ALJ ultimately assigned Dr. Hurley's opinion "limited weight." (Id. at 23). In making this determination, the ALJ explained that "[t]o the extent ... the assessment prevents working [it] is inconsistent with Dr. Hurley's treatment notes, that indicated no overt concern, ongoing conservative treatment medication management and counseling therapy, and many unremarkable status findings." (Id. ). The Court finds no error in this conclusion by the ALJ.
It is appropriate for an ALJ to accord limited weight to an opinion where it is "inconsistent with [the source's] examination findings." Glena v. Colvin ,
The ALJ further explained that the extreme findings in Dr. Hurley's questionnaire "appear to be sympathetic to the claimant's financial concerns." (Id. ). Notably, in the outline of Plaintiff's medical treatment, the ALJ noted several occasions on which Plaintiff discussed his financial situation with Dr. Hurley and others, including a statement by Plaintiff that he was ambivalent about returning to work because it could "sabotage" his ability to secure SSD benefits. (Id. at 19-21).
Plaintiff highlights several portions of the ALJ's analysis of Dr. Hurley's opinion as problematic. (Dkt. 9-1 at 13-15). However, these items do not amount to any error on the part of the ALJ, but rather show only Plaintiff's disagreement with the ALJ's assessment. As explained above, the ALJ's analysis for Dr. Hurley's opinion as to Plaintiff's RFC was comprehensive, thorough, and reasonable. For this reason, the ALJ's assigning limited weight to Dr. Hurley's opinion is reasonable and, as detailed *104by Plaintiff's medical records, is supported by more than a mere scintilla of evidence.
B. Assessment of Plaintiff's RFC
Plaintiff's second argument is that the ALJ's determination as to the Plaintiff's RFC is unsupported by the evidence in the record.
In deciding a disability claim, an ALJ is tasked with "weigh[ing] all of the evidence available to make an RFC finding that [is] consistent with the record as a whole." Matta v. Astrue ,
The Court finds no error in the ALJ's conclusions regarding Plaintiff's RFC. The ALJ examined Plaintiff's testimony and treatment record in detail. (Dkt. 6 at 18-23). In arriving at the RFC, the ALJ considered several medical opinions, including those of Drs. Ransom, Kleinerman, Santa Maria, and Hurley. (Id. at 22-23). Plaintiff visited Christine Ransom, Ph.D., in October 2014, for a consultative psychological evaluation. (Id. at 223). Dr. Ransom noted that Plaintiff was cooperative and socially appropriate. (Id. at 224). Dr. Ransom found that Plaintiff:
can follow and understand simple directions and instructions, perform simple tasks independently, maintain attention and concentration for simple tasks, maintain a simple regular schedule and learn simple new tasks. He will have mild difficulty performing complex tasks, relate adequately with others and appropriately deal with stress due to major depressive disorder currently mild, unspecified anxiety disorder currently mild.
The results of the evaluation are consistent with mild psychiatric conditions which will not significantly interfere with the claimant's ability to function on a daily basis.
Id. at 225. In November 2014, Dr. Kleinerman, a state agency medical consultant, reviewed Dr. Ransom's report and opined that Plaintiff did not have a severe mental impairment. Id. at 227. Dr. Kleinerman found that Plaintiff's affect/mood was mildly irritable, but that Plaintiff's attention and memory were intact. Id. Dr. Kleinerman also noted that Plaintiff does chores, drives, and manages finances. Id.
In April 2016, Plaintiff visited Dr. Santa Maria for an evaluation. (Id. at 264-71). Dr. Santa Maria noted that Plaintiff required redirection to stay focused during the examination. (Id. at 266). Plaintiff's cognitive abilities were rated in the "high normal" range, and Plaintiff demonstrated a "high normal" ability to follow multi-step verbal instructions. (Id. at 268). In Dr. Santa Maria's opinion, Plaintiff demonstrated "adequate cognitive capacity to handle various competitive work roles though not necessarily work roles with strong demands on mathematics." (Id. at 270).
Thereafter, in August 2016, Plaintiff saw Angela Mason, LMSW, therapist. (Id. at 273-74). Ms. Mason noted that Plaintiff faced struggles in managing his depression and in initiating change in his life. (Id. at 273). Ms. Mason further noted that Plaintiff was engaged during sessions, and demonstrated tangential thought process, at *105times difficult to redirect. (Id. ). The ALJ noted that Ms. Mason's opinions were considered in the RFC for a range of unskilled work and some limitations on social functioning, which would not preclude working. (Id. at 22).
Finally, the ALJ considered the opinion of Dr. Hurley, as detailed above at Section II(A). Although Dr. Hurley's mental functional capacity assessment found Plaintiff deficient in several areas (id. at 323-27), as noted by the ALJ, the assessment conflicted with Dr. Hurley's earlier assessments of Plaintiff, which were somewhat unremarkable. (Id. at 22-23). In summarizing these records and opinions, the ALJ found:
Due to reported depression and anxiety and some nonverbal learning disorder mention ... the claimant could perform a range of unskilled routine repetitive work. He could sustain attention and concentration for two-hour segments. Due to reported social difficulties, he could tolerate at least brief and superficial contact with others. Despite difficultly with change, he could adapt to changes for routine repetitive unskilled work.
(Id. at 23).
While the ALJ did not adopt the opinion of one particular medical source in this case, such a finding is not required. Matta ,
Plaintiff contends that it was inappropriate for the ALJ to consider Plaintiff's ability to perform certain activities as evidence that Plaintiff is not as limited as he alleges. (Dkt. 9-1 at 17). The ALJ cited to Plaintiff's testimony that "[h]e lives alone, and maintains independent functioning. He is able to care for himself, manage money, and drive a car; socialize with family and friends; watch television and listen to the radio; and complete household tasks daily. Such activities appear to be consistent with a range of unskilled work." (Id. at 21-22).
The Court has reviewed Plaintiff's testimony from the January 19, 2017 hearing, and finds that testimony was accurately summarized by the ALJ. Although Plaintiff argues that the ALJ failed to take into account Plaintiff's testimony that he experienced frustrations when engaging in everyday activities, this statement is inaccurate; indeed, in assessing Plaintiff's RFC, the ALJ considered the following from Plaintiff's "extensive" testimony: he was terminated from past jobs, due to employment issues; he "talks over" people; one employer was not satisfied with Plaintiff's handling of telephone calls; he did not understand some procedures as well as he did in the past; he did not get along well with people, due to the symptoms of his impairments; and he continued to have symptoms such as lack of energy, not feeling *106well, and not feeling happy. (Id. at 18). The ALJ also noted that Plaintiff does not appear to have any physical limitations in performing work (id. at 20), a fact that Plaintiff himself testified to at his hearing (id. at 35). "An ALJ has discretion to resolve conflicts in the record, including with reference to a claimant's reported activities of daily living...." Perozzi v. Berryhill ,
C. Determination of Plaintiff's Severe Impairments
Plaintiff's third and final argument is that the ALJ erred in finding that Plaintiff's nonverbal learning disability is not a severe impairment. Specifically, Plaintiff argues that Dr. Santa Maria diagnosed him with a nonverbal learning disorder, and the ALJ dismissed the diagnosis by indicating that he was "assessed with a possible nonverbal learning disorder." (Dkt. 9-1 at 19).
The Court has reviewed Dr. Santa Maria's report (Dkt. 6 at 264-71), and the ALJ's assessment of that report (id. at 15), and finds that Plaintiff's argument is without merit. The ALJ accurately summarized Dr. Santa Maria's finding that a nonverbal learning disorder (possible or not) was "a condition only noted in research literature." (Id. at 15). See id. at 270 ("I consider him to meet the diagnostic criteria for a Nonverbal Learning Disorder, which is a condition described in the research literature but not included in DSM-IV or DSM-5. "). Plaintiff has failed to present any evidence to support the conclusion that his purported nonverbal learning disorder constituted a severe impairment. See Cox v. Astrue ,
Moreover, even if the Court found that the ALJ mischaracterized and/or omitted Plaintiff's nonverbal learning disorder as a severe impairment, any error would be harmless. As explained in Guerra v. Commissioner :
At step two, the ALJ is required to consider whether a claimant's medically determinable impairments are severe. Notably, "[i]t is the claimant's burden to show at step two that she has a severe impairment." Rye v. Colvin , No. 2:14-CV-170,2016 U.S. Dist. LEXIS 18774 ,2016 WL 632242 , at *3 (D. Vt. Feb. 17, 2016) (internal quotation omitted). A step two error is not reversible and does not necessitate remand where the record is devoid of evidence that the allegedly omitted impairments were severe....
Moreover, "[c]ourts have developed a specialized variant of harmless-error analysis with respect to Step 2 severity errors in social security proceedings.... [W]hen an administrative law judge identifies some severe impairments at Step 2, and then proceeds through [the] sequential evaluation on the basis of [the] combined effects of all impairments, including those erroneously found to be non severe, an error in failing to identify all severe impairments at Step 2 is harmless." Snyder v. Colvin , No. 5:13-CV-585 GLS/ESH,2014 U.S. Dist. LEXIS 92541 ,2014 WL 3107962 , at *5 (N.D.N.Y. July 8, 2014) ; see also Reices-Colon v. Astrue ,523 F. App'x 796 , 798 (2d Cir. 2013) (step two error was harmless where all of the claimant's conditions "were considered during the subsequent steps"). "Specifically, when functional effects of impairments erroneously *107determined to be non-severe at Step 2 are, nonetheless, fully considered and factored into subsequent residual functional capacity assessments, a reviewing court can confidently conclude that the same result would have been reached absent the error." Snyder ,2014 U.S. Dist. LEXIS 92541 ,2014 WL 3107962 at *5.
No. 1:16-CV-00991 (MAT),
Here, the ALJ categorized Plaintiff's nonverbal learning disorder as a nonsevere impairment. (Dkt. 6 at 15). However, the decision specifically states that "[t]he severe and nonsevere impairments are considered in the residual functional capacity." (Id. at 16). Indeed, the ALJ considered Plaintiff's nonverbal learning disorder in the residual functional capacity section of the decision. See id. at 19-20 ("the claimant had some evidence of a nonverbal learning disorder," and "[a]ssessment was noted as nonverbal learning disorder...."); id. at 23 ("The residual functional capacity is based on the totality of the evidence. Due to reported depression and anxiety and some nonverbal learning disorder mention ... the claimant could perform a range of unskilled routine repetitive work."). Because the ALJ explicitly and clearly considered Plaintiff's nonverbal learning disorder in the remaining steps of the disability analysis, any error in its categorization as a nonsevere impairment was harmless, and Plaintiff's argument on this point is without merit.
CONCLUSION
For the foregoing reasons, the Commissioner's motion for judgment on the pleadings (Dkt. 13) is granted and Plaintiffs motion for judgment on the pleadings (Dkt. 10) is denied. The Clerk of Court is directed to enter judgment and close this case.
SO ORDERED.
339 F. Supp. 3d 96 (London v. Comm'r of Soc. Sec.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.