Chapman v. Social Security Administration, Commissioner
Filing
18
MEMORANDUM OPINION. Signed by Judge Corey L. Maze on 8/1/2022. (SRD)
FILED
2022 Aug-01 PM 02:21
U.S. DISTRICT COURT
N.D. OF ALABAMA
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ALABAMA
MIDDLE DIVISION
TINA CHAPMAN,
Plaintiff,
v.
Case No. 4:20-cv-1349-CLM
KILOLO KIJIKAZI,
Acting Commissioner
of the Social Security
Administration,
Defendant.
MEMORANDUM OPINION
Tina Chapman seeks disability, disability insurance, and
Supplemental Security Income (“SSI”) from the Social Security
Administration (“SSA”) based on several impairments. The SSA issued
Chapman a partially favorable decision in an opinion written by an
Administrative Law Judge (“ALJ”) who found that Chapman became
disabled on June 23, 2018.
Chapman argues: (1) that the ALJ failed to adequately explain why
she was discounting the opinions of Dr. David Wilson, a consultative
psychologist; (2) that the ALJ erred in evaluating the opinions of her
treating physician; (3) that the ALJ failed to accord proper weight to the
opinions of consultative examiner Dr. June Nichols; and (4) that
substantial evidence doesn’t support the finding that Chapman can
perform light work.
The court agrees that the ALJ didn’t adequately explain her
decision to discount Dr. Wilson’s opinions. So the court will REVERSE
the SSA’s denial of benefits and REMAND this case to the Commissioner
for further proceedings.
I.
STATEMENT OF THE CASE
This is the second time that Chapman has appealed the SSA’s
determination about her claim for benefits. In her first appeal, Chapman
successfully argued that the SSA’s Appeals Council erred in denying her
request for review without considering a new, chronologically relevant,
and material opinion from Dr. Wilson. On remand, the ALJ held a hearing
and issued a new decision. That decision is the subject of this appeal.
A.
Chapman’s Disability, as told to the ALJ
Chapman was 51 on her alleged disability onset date. (R. 143). She
was 55 on the day the ALJ found she became disabled. (R. 143, 513).
Chapman alleged that she was disabled because of degenerative disc
disease, obesity, bipolar disorder, and anxiety/depression. (R. 180–88,
199–213, 227–35). Chapman has past work as a home health aide and
certified nursing assistant. (R. 512).
At the ALJ hearing, Chapman testified that she has osteoarthritis
pain in her arms, hands, neck, and shoulders. (R. 548–59). And Chapman
said her neck pain is worse than it was at the time of the first ALJ hearing.
(R. 542). According to Chapman, Neurontin helped relieve her neck pain
but her doctors took her off that medicine to see if pain management
would work. (Id.).
Chapman says she typically must prop her legs up for 7 hours
between the hours of 8:00 AM and 5:00 PM. (R. 547). Chapman also claims
that her medicine often makes her feel like she must lie down for hours at
a time. (Id.). And Chapman can only stand in one spot for 10 minutes
before needing to sit down or move around. (R. 548).
Chapman has panic attacks that sometimes last 30 minutes. (R.
538). Chapman is also being treated at CED mental health center for
bipolar disorder. (R. 541). Chapman’s mental health problems include
hearing voices, hearing knocks on the door, and seeing things. (R. 549).
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Chapman lives in an apartment with her 19-year-old son. (R. 540).
Chapman performs very little chores but does laundry. (R. 540–41).
Sometimes Chapman has trouble doing laundry because she cannot bend
over and pick the laundry up. (R. 551). And though Chapman still drives
some, her driving hurts her neck. (R. 541, 551).
B.
Determining Disability
The SSA has created the following five-step process to determine
whether an individual is disabled and thus entitled to benefits under the
Social Security Act:
The 5-Step Test
Step 1
Is the Claimant engaged in
substantial gainful activity?
If yes, claim denied.
If no, proceed to Step 2.
Step 2
Does the Claimant suffer from a
severe, medically-determinable
impairment or combination of
impairments?
If no, claim denied.
If yes, proceed to Step 3.
Step 3
Does the Step 2 impairment meet
the criteria of an impairment listed
in 20 CFR Part 404, Subpart P,
Appx. 1?
If yes, claim granted.
If no, proceed to Step 4.
*Determine Residual Functional Capacity*
Step 4
Does the Claimant possess the
residual functional capacity to
perform the requirements of his
past relevant work?
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If yes, claim denied.
If no, proceed to Step 5.
Step 5
Is the Claimant able to do any
other work considering his
residual functional capacity, age,
education, and work experience?
If yes, claim denied.
If no, claim granted.
See 20 C.F.R. §§ 404.1520(a), 404.1520(b) (Step 1); 20 C.F.R. § 404.1520(c)
(Step 2); 20 C.F.R. §§ 404.1520(d), 404.1525, 404.1526 (Step 3); 20 C.F.R.
§ 404.1520(e-f) (Step 4); 20 C.F.R. § 404.1520(g) (Step 5).
C.
Chapman’s Application and the ALJ’s Decision
The SSA reviews applications for benefits in three stages: (1) initial
determination, including reconsideration; (2) review by an ALJ; and (3)
review by the SSA Appeals Council. See 20 C.F.R. § 404.900(a)(1-4).
Chapman first brought this application for benefits in August 2014,
claiming that she could not work because of various ailments, including
degenerative disc disease, obesity, bipolar disorder, anxiety, and
depression. After the SSA denied Chapman’s claim, Chapman appealed
to this court and filed two new claims for disability benefits. This court
remanded the claim before it to the Commissioner for consideration of Dr.
Wilson’s opinion. On remand, the Appeals Council directed the ALJ to
consolidate Chapman’s three claims and issue a new decision. The ALJ
conducted a hearing in August 2020 and ultimately found that Chapman
became disabled on June 23, 2018. (R. 496–514).
At Step 1, the ALJ determined that Chapman was not engaged in
substantial gainful activity and thus her claims would progress to Step 2.
At Step 2, the ALJ determined that Chapman suffered from the
following severe impairments: obesity, degenerative disc disease,
depression, degenerative joint disease, anxiety, bipolar disorder, and
panic disorder.
At Step 3, the ALJ found that none of Chapman’s impairments,
individually or combined, met or equaled the severity of any of the
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impairments listed in 20 CFR Part 404, Subpart P, Appendix 1. So the
ALJ next had to determine Chapman’s residual functional capacity.
The ALJ determined that Chapman had the residual functional
capacity to perform light work with these added limitations:
• Chapman can lift 20 pounds occasionally and 10 pounds
frequently.
• Chapman is limited to sitting 6 hours in an 8-hour workday
and standing/walking 6 hours in an 8-hour workday.
• Chapman can never climb ladders, ropes, or scaffolds.
• Chapman can only occasionally climb ramps and stairs,
balance, stoop, crouch, kneel, and crawl.
• Chapman can only occasionally reach overhead.
• Chapman can understand, remember, and carry out simple
instructions.
• Chapman can maintain attention and concentration for 2hour periods at a time.
• Chapman can perform jobs that don’t require interaction with
the general public as part of the job duties, but she can have
occasional interaction with co-workers.
• Chapman can adapt to routine and infrequent workplace
changes.
• Chapman can make simple work-related decisions.
At Step 4, the ALJ found that Chapman could not perform her past
relevant work.
At Step 5, the ALJ determined that before June 23, 2018 Chapman
could perform jobs, such as laundry worker, marker, and garment sorter,
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that exist in significant numbers in the national economy and thus
Chapman was not disabled under the Social Security Act. But the ALJ
found that Chapman’s age category changed on June 23, 2018 and
starting on that date there weren’t any jobs in the national economy that
Chapman could perform. So the ALJ issued Chapman a partially
favorable decision, finding that Chapman became disabled on June 23,
2018 and continued to be disabled through the date of the ALJ’s decision.
II.
STANDARD OF REVIEW
This court’s role in reviewing claims brought under the Social
Security Act is a narrow one. The scope of the court’s review is limited to
(a) whether the record contains substantial evidence to sustain the ALJ’s
decision, see 42 U.S.C. § 405(g); Walden v. Schweiker, 672 F.2d 835, 838
(11th Cir. 1982), and (b) whether the ALJ applied the correct legal
standards, see Stone v. Comm’r of Soc. Sec., 544 F. App’x 839, 841 (11th
Cir. 2013) (citing Crawford v. Comm’r of Soc. Sec., 363 F.3d 1155, 1158
(11th Cir. 2004)). “Substantial evidence is more than a scintilla and is
such relevant evidence as a reasonable person would accept as adequate
to support a conclusion.” Crawford, 363 F.3d at 1158.
III.
LEGAL ANALYSIS
Chapman makes four arguments for why the ALJ erred. First,
Chapman argues that the ALJ didn’t adequately evaluate the opinions of
Dr. Wilson. According to Chapman, Dr. Wilson’s opinions establish that
she’s entitled to benefits under former Listings 12.04. and 12.06. Second,
Chapman asserts that the ALJ erred in evaluating the opinion of her
treating physician, Dr. Griffith. Third, Chapman contends that the ALJ
wrongly rejected the opinions of Dr. June Nichols. Finally, Chapman
states that substantial evidence doesn’t support the ALJ’s finding that she
has the residual functional capacity to perform light work.
The court agrees that the ALJ failed to provide a reasonable basis
for discounting Dr. Wilson’s opinions. (Though the court thinks it’s best
for the ALJ, not the court, to re-evaluate whether Chapman meets
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Listings 12.04 and 12.06). So the court needn’t address Chapman’s other
arguments for reversal. Before explaining how the ALJ erred, the court
will recap Dr. Wilson’s opinions and the ALJ’s reasons for assigning those
opinions little weight.
1. Background: After the ALJ issued her first decision on
Chapman’s application for benefits, Chapman had a consultative exam
with Dr. Wilson. Chapman then submitted several materials from Dr.
Wilson to the Appeals Council. (R. 485–90). In the summary section of his
psychological evaluation, Dr. Wilson stated that Chapman had serious
problems with her mood and panic attacks. (R. 488). He also said that
Chapman’s “ability to withstand the pressures of day to day occupational
functioning is highly impaired.” (Id.). And Dr. Wilson noted that Chapman
“would have difficulty with both the task and interpersonal aspects of job
environments and her anxiety and panic attacks would make it very
difficult for [Chapman] to work.” (Id.). Finally, Dr. Wilson determined
that “[i]t is unlikely that [Chapman’s] condition will improve in the next
12 months.” (Id.).
Dr. Wilson also filled out a mental health source statement and
mental health questionnaire on behalf of Chapman. (R. 489–490). In the
mental health source statement, Dr. Wilson circled ‘yes’ when asked if
Chapman could “understand, remember or carry out very short and
simple instructions.” (R. 489). But he said that Chapman could not: (1)
maintain attention, concentration, or pace for periods of at least 2 hours;
(2) perform activities within a schedule and be punctual with customary
tolerances; (3) sustain an ordinary routine without special supervision; or
(4) adjust to routine and infrequent work changes. (Id.). Nor could
Chapman interact with supervisors, interact appropriately with coworkers, maintain socially appropriate behavior, or adhere to basic
standards of neatness and cleanliness. (Id.). In the mental health
questionnaire, Dr. Wilson responded that Chapman suffered from several
limitations, including (1) marked restrictions in the ability to understand,
remember, or apply information; (2) marked difficulties in the ability to
interact with others; (3) marked difficulties in the ability to concentrate,
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persist, or maintain pace; and (4) marked limitations in the ability to
adapt or manage oneself. (R. 490).
The Appeals Council denied Chapman’s request for review without
considering the evidence from Dr. Wilson. On appeal, this court
determined that the Appeals Council erred in not considering the new
evidence from Dr. Wilson because it was chronologically relevant and
there was a reasonable possibility that it would change the administrative
result. See Chapman v. Soc. Sec. Admin., Comm’r, 2019 WL 1429630, at
*4–6 (N.D. Ala. Mar. 29, 2019). The court noted that Dr. Wilson found that
Chapman had marked limitations in all four areas of mental functioning,
which could lead a factfinder to determine that Chapman’s impairments
meet Listings 12.04 or 12.06. Id. at *5. And though the court recognized
that there was some inconsistency between Dr. Wilson’s opinions and
Chapman’s treatment notes, the court explained that “[t]reatment records
from a single month documenting improvement and stability do not
render Dr. Wilson’s psychological evaluation inconsistent with those
records viewed in their entirety.” Id.
On remand, the ALJ afforded Dr. Wilson’s opinions little weight,
finding that Chapman’s treatment records contradicted them. (R. 509–
10). The ALJ noted that Chapman arrived at Dr. Wilson’s appointment on
time and had neat hygiene and appearance. (R. 509). The ALJ also stated
that though Chapman described some social limitations, none would
suggest the inability to be around others at work. (Id.). The ALJ then
noted that Chapman “reported going to the store, having friends who visit,
going to church sometimes” and that Chapman’s “main complaint is
crowds.” (Id.). According to the ALJ, Chapman’s providers at CED didn’t
note these limitations or any socially unacceptable behaviors from
Chapman. (Id.). The ALJ also described Chapman’s recent treatment
notes as documenting that Chapman’s doing “very well” and explaining
that Chapman was having issues staying home during COVID. (Id.). And
the ALJ pointed out that Chapman’s therapist stated that she could
adhere to basic standards of neatness and cleanliness. (Id.).
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The ALJ also addressed this court’s determination that Dr. Wilson’s
opinions could change the administrative result. The ALJ explained that
this court’s conclusion that a factfinder could reasonably determine that
Dr. Wilson’s opinions established that Chapman met Listings 12.04 or
12.06 acknowledges that a factfinder could reach the opposite conclusion.
(R. 510). The ALJ also noted that Dr. Wilson’s opinion was “only one
opinion in [Chapman’s] voluminous medical record” and that Dr. Wilson
was hired by Chapman’s attorney and only evaluated her once. (Id.). The
ALJ then explained that though the court correctly noted that Chapman’s
panic attacks caused her to quit a job after only two days, the vocational
expert classified that job as a semiskilled job. (Id.). And the jobs the ALJ
found that Chapman could perform were all unskilled. (Id.). Finally, the
ALJ stated that during appointments Chapman attended after August
2015, she reported doing okay and recently reported doing well on her
current medication. (Id.).
2. ALJ’s error: Under the regulations that apply to Chapman’s claim
for benefits, “the ALJ must state with particularity the weight given to
different medical opinions and the reasons therefor.” Winschel v.
Commissioner of Soc. Sec., 631 F.3d 1176, 1179 (11th Cir. 2011). While an
ALJ needn’t defer to the opinions of one-time examiners, like Dr. Wilson,
see McSwain v. Bowen, 814 F.2d 617, 619 (11th Cir. 1987), the ALJ must
“state with at least some measure of clarity the grounds” for assigning a
particular weight to the consultative examiner’s opinion, Winschel, 631
F.3d at 1179. So an ALJ errs when she fails to provide a reasonable basis
for discounting the opinion of a consultative examiner. See Simon v.
Comm’r, Soc. Sec. Admin., 7 F.4th 1094, 1108–09 (11th Cir. 2021).
The main reason the ALJ gave Dr. Wilson’s opinions little weight
was that she found them to contradict Chapman’s medical records from
CED. In support of this finding, the ALJ pointed to Chapman’s treatment
records from December 2019 and April 2020 when Chapman reported that
she was “doing okay” and “doing very well.” (R. 1101–07). But “[m]any
mental disorders—and bipolar disorder in particular—are characterized
by the unpredictable fluctuation of their symptoms, and thus it is not
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surprising that even a highly unstable patient will have good days or
possibly good months.” Simon, 7 F.4th at 1106. And “[f]or those who suffer
from such disorders, a snapshot of any single moment says little about [a
person’s] overall condition.” Id. So ALJs should not “rel[y] on such
snapshots to discredit the remainder of a psychiatrist’s findings.” See id;
see also id. at 1108–09 (finding that ALJ hadn’t provided a reasonable
basis for discounting consultative examiner’s opinions).
After reviewing Chapman’s treatment records from CED, the court
sees no obvious inconsistency between Dr. Wilson’s opinions and the CED
records viewed in their entirety. In fact, Chapman’s treatment records are
filled with reports that she suffers from auditory and visual
hallucinations, suicidal ideation, depression, anxiety, panic attacks,
anger, and aggression. (R. 444, 447, 468, 473, 943–44, 957, 998–99, 1009).
For example, Chapman repeatedly told her mental health providers that
she had daily anger outbursts towards her teenage son who was one of the
only people she saw each day. (R. 943, 957). There very well might be a
valid reason to find that Dr. Wilson’s opinions don’t align with Chapman’s
treatment notes. But given that many of Chapman’s medical records seem
to support Dr. Wilson’s opinions, the ALJ erred in discussing only isolated
entries when discrediting Dr. Wilson. See Simon, 7 F.4th at 1106.
The ALJ also erred in not adequately explaining why she thought
the social limitations Chapman described to Dr. Wilson wouldn’t affect
Chapman’s ability to be around others at work or what social
limitations/socially unacceptable behaviors Chapman reported to Dr.
Wilson but not her CED providers. Consistent with what she told Dr.
Wilson, Chapman told her CED providers that she had stopped visiting
friends, had trouble leaving her home, and experienced panic attacks in
crowded environments like her son’s graduation and Walmart. (R. 943–
44). So it’s difficult to discern what the ALJ meant when she said, “[n]one
of these are noted by any of her providers at CED. They have never noted
any socially unacceptable behaviors, etc.” (R. 509). Plus, the ALJ didn’t
explain why evidence that Chapman suffers from panic attacks around
groups of people wouldn’t make it difficult for her to be around others. The
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ALJ thus didn’t provide “some measure of clarity” for why she found that
the social limitations noted by Dr. Wilson didn’t support his opinions.
The court recognizes that the ALJ found that Chapman’s reported
daily activities, such as going to the store, having friends who visit, and
going to church sometimes, contradicted Dr. Wilson’s opinions. But
Chapman qualified her participation in these daily activities when she
reported them to Dr. Wilson. For example, Chapman stated that she
doesn’t see any of her family, has just two or three friends, and has only
one friend who comes over. (R. 487). That friend often wants Chapman to
run her to the store, but as Chapman earlier explained to Dr. Wilson, the
crowds at Walmart have caused her to suffer from panic attacks. (Id.).
And Chapman doesn’t “drive unless I have to” because she doesn’t “like
leaving the house” and it’s “hard to get out.” (R. 486). So though Chapman
goes to church “sometimes,” she doesn’t “go a lot.” (R. 487). To use this
evidence to discount Dr. Wilson, the ALJ needed to acknowledge
Chapman’s limiting description of these activities and provide a
reasonable explanation for why completing these tasks would undermine
Dr. Wilson’s opinions. See Simon, 7 F.4th at 1108 (“Without some
reasonable explanation from the ALJ as to why completing basic
household chores is inconsistent with a finding of disability, this evidence
was not sufficient to discredit Dr. Turner.”).
The ALJ did correctly note that statements from Chapman’s
therapist that Chapman could adhere to basic standards of neatness and
cleanliness and that Chapman had neat hygiene and appearance at her
appointment with Dr. Wilson contradicted Dr. Wilson’s statement that
Chapman couldn’t adhere to basic standards of neatness and cleanliness.
(R. 509). But these facts have little to no bearing on Dr. Wilson’s opinions
on the issues that he thought Chapman’s mood swings, panic attacks, and
anxiety—which are at the heart of her disability claim—would cause. Nor
does the fact that Chapman arrived on time to her appointment with Dr.
Wilson, on its own, provide a reasonable basis to discount each of Dr.
Wilson’s opinions.
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Plus, nothing in the ALJ’s discussion of this court’s determination
that Dr. Wilson’s opinion was material shows that the ALJ gave a valid
reason for discounting Dr. Wilson’s opinions. To be sure, as the ALJ noted,
Dr. Wilson examined Chapman only one time and was hired by
Chapman’s attorney. But the ALJ didn’t discount the opinions of the other
consultative examiners because they just examined Chapman once, so she
couldn’t use this rationale to discount Dr. Wilson’s opinions. See Schink v.
Comm’r of Soc. Sec., 945 F.3d 1245, 1261 (11th Cir. 2019) (ALJ’s rationale
for discounting medical opinions should be the same across the board
unless inconsistency is explained). Indeed, “[t]he fact that [Dr. Wilson]
was a one-time consultative examiner retained by the claimant rather
than the Commissioner is not, standing alone, a valid basis for rejecting
his medical opinion.” Hickel v. Comm’r of Soc. Sec., 539 F. App’x 980, 987
(11th Cir. 2013). And that the job that caused Chapman to suffer from
panic attacks was semiskilled doesn’t negate the court’s point that there
is no obvious inconsistency between Dr. Wilson’s opinions and Chapman’s
treatment records. So the ALJ didn’t articulate a valid reason to afford all
of Dr. Wilson’s opinions little weight.
The Commissioner says the court should still affirm the ALJ’s
evaluation of Dr. Wilson’s opinions because they contradict exam findings
from Dr. Nichols and Dr. Bentley. (Doc. 15 at 11–12). The Commissioner
also notes that Dr. Bentley suggested that there was symptom
exaggeration, and that Chapman did not truly have psychotic disorder.
(Id. at 12). The problem with this argument is that the ALJ didn’t discuss
Dr. Nichols or Dr. Bentley’s findings when evaluating Dr. Wilson’s
opinions. (R. 509–10). And this court cannot “affirm simply because some
rationale might have supported the ALJ’s conclusion.” See Owens v.
Heckler, 748 F.2d 1511, 1516 (11th Cir. 1984). In short, without more
explanation from the ALJ, the court cannot say that she had an adequate
reason to discount Dr. Wilson’s opinions.
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IV.
CONCLUSION
In sum, the ALJ failed to articulate valid reasons for discounting
each of Dr. Wilson’s opinions. So the court will remand this case to the
Commissioner for the ALJ to reassess Dr. Wilson’s opinions. Though the
court doesn’t reach Chapman’s arguments about the other opinion
evidence, the ALJ should also re-evaluate those opinions considering
Chapman’s medical records as a whole. In reaching this decision, the court
isn’t holding that the ALJ must afford Dr. Wilson’s opinions a particular
weight. The court is instead merely requiring the ALJ to articulate
adequate reasons for the weight she assigns Dr. Wilson’s opinions.
The court will enter a separate final order that REVERSES the
ALJ’s decision and REMANDS this case to the Commissioner for further
proceedings consistent with this opinion.
Done on August 1, 2022.
_________________________________
COREY L. MAZE
UNITED STATES DISTRICT JUDGE
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