Payne v. Social Security Administration Commissioner
Filing
9
MEMORANDUM OPINION Signed by Honorable Barry A. Bryant on November 29, 2012. (sh)
IN THE UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF ARKANSAS
FORT SMITH DIVISION
JESSICA LYNN PAYNE
vs.
PLAINTIFF
Civil No. 2:11-cv-02227
MICHAEL J. ASTRUE
Commissioner, Social Security Administration
DEFENDANT
MEMORANDUM OPINION
Jessica Lynn Payne (“Plaintiff”) brings this action pursuant to § 205(g) of Title II of the
Social Security Act (“The Act”), 42 U.S.C. § 405(g) (2010), seeking judicial review of a final
decision of the Commissioner of the Social Security Administration (“SSA”) denying her
applications for Disability Insurance Benefits (“DIB”), Supplemental Security Income (“SSI”) and
a period of disability under Titles II and XVI of the Act. The parties have consented to the
jurisdiction of a magistrate judge to conduct any and all proceedings in this case, including
conducting the trial, ordering the entry of a final judgment, and conducting all post-judgment
proceedings. ECF No. 5.1 Pursuant to this authority, the Court issues this memorandum opinion and
orders the entry of a final judgment in this matter.
1. Background:
Plaintiff protectively filed an application for DIB and SSI on March 3, 2010. (Tr. 15, 76-81).
Plaintiff alleged she was disabled due to headaches, depression, and bipolar disorder. (Tr. 140, 150).
Plaintiff alleged an onset date of April 30, 2009. (Tr. 109). These applications were denied initially
and again upon reconsideration. (Tr. 25-35, 38-43). Thereafter, Plaintiff requested an administrative
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The docket numbers for this case are referenced by the designation “ECF No. ____” The transcript pages
for this case are referenced by the designation “Tr.”
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hearing on her applications and this hearing request was granted. (Tr. 65).
Plaintiff’s administrative hearing was held on March 3, 2011, in Clarksville, Arkansas. (Tr.
418-461). Plaintiff was present and was represented by counsel, Iva Nell Gibbons, at this hearing.
Id. Plaintiff, her mother-in-law Darla Payne, and Vocational Expert (“VE”) Montie Lumpkin,
testified at this hearing. Id. At the time of this hearing, Plaintiff was twenty-three (23) years old,
which is defined as a “younger person” under 20 C.F.R. § 404.1563(c), and had a high school
education. (Tr. 422, 448).
On March 16, 2011, the ALJ entered an unfavorable decision denying Plaintiff’s application
for DIB and SSI. (Tr. 15-24). In this decision, the ALJ determined Plaintiff had not engaged in
Substantial Gainful Activity (“SGA”) since April 30, 2009. (Tr. 17, Finding 2). The ALJ
determined Plaintiff had the severe impairments of bipolar disorder. (Tr. 17, Finding 3). The ALJ
also determined Plaintiff’s impairments did not meet or medically equal the requirements of any of
the Listing of Impairments in Appendix 1 to Subpart P of Regulations No. 4 (“Listings”). (Tr. 18,
Finding 4).
In this decision, the ALJ evaluated Plaintiff’s subjective complaints and determined her RFC.
(Tr. 19-22, Finding 5). First, the ALJ evaluated Plaintiff’s subjective complaints and found her
claimed limitations were not entirely credible. Id. Second, the ALJ determined Plaintiff retained
the RFC for the full range of work at all exertional levels except is only able to understand,
remember, and carry out simple, routine, and repetitive tasks; able to respond appropriately to usual
work situations; interact appropriately with supervisors; have only incidental contact with
co-workers; and have no contact with the public. Id.
The ALJ evaluated Plaintiff’s Past Relevant Work (“PRW”). (Tr. 22, Finding 6). The ALJ
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determined Plaintiff was unable to perform any of her PRW. Id. The ALJ, however, also
determined there was other work existing in significant numbers in the national economy Plaintiff
could perform. (Tr. 23, Finding 10). The ALJ based this finding upon the testimony of the VE. Id.
Specifically, the VE testified that a hypothetical individual with Plaintiff’s limitations retained the
ability to perform work as a kitchen helper with 2,238 such jobs in Arkansas and 274,945 in the
national economy, hand packer with 1,560 such jobs in Arkansas and 161,588 in the national
economy and work as a cook helper with 1,318 such jobs in region and 170,282 in the national
economy. Id. The ALJ then determined Plaintiff had not been under a disability, as defined by the
Act, at anytime through the date of his decision. (Tr. 23, Finding 11).
Thereafter, Plaintiff requested the Appeals Council review the ALJ’s unfavorable decision.
(Tr. 9-11). See 20 C.F.R. § 404.968. The Appeals Council declined to review this unfavorable
decision. (Tr. 5-7). On November 29, 2011, Plaintiff filed the present appeal. ECF No. 1. The
Parties consented to the jurisdiction of this Court on January 5, 2011. ECF No. 5. Both Parties have
filed appeal briefs. ECF Nos. 7,8. This case is now ready for decision.
2. Applicable Law:
In reviewing this case, this Court is required to determine whether the Commissioner’s
findings are supported by substantial evidence on the record as a whole. See 42 U.S.C. § 405(g)
(2006); Ramirez v. Barnhart, 292 F.3d 576, 583 (8th Cir. 2002). Substantial evidence is less than
a preponderance of the evidence, but it is enough that a reasonable mind would find it adequate to
support the Commissioner’s decision. See Johnson v. Apfel, 240 F.3d 1145, 1147 (8th Cir. 2001).
As long as there is substantial evidence in the record that supports the Commissioner’s decision, the
Court may not reverse it simply because substantial evidence exists in the record that would have
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supported a contrary outcome or because the Court would have decided the case differently. See
Haley v. Massanari, 258 F.3d 742, 747 (8th Cir. 2001). If, after reviewing the record, it is possible
to draw two inconsistent positions from the evidence and one of those positions represents the
findings of the ALJ, the decision of the ALJ must be affirmed. See Young v. Apfel, 221 F.3d 1065,
1068 (8th Cir. 2000).
It is well established that a claimant for Social Security disability benefits has the burden of
proving his or her disability by establishing a physical or mental disability that lasted at least one
year and that prevents him or her from engaging in any substantial gainful activity. See Cox v. Apfel,
160 F.3d 1203, 1206 (8th Cir. 1998); 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). The Act defines
a “physical or mental impairment” as “an impairment that results from anatomical, physiological,
or psychological abnormalities which are demonstrable by medically acceptable clinical and
laboratory diagnostic techniques.” 42 U.S.C. §§ 423(d)(3), 1382(3)(c). A plaintiff must show that
his or her disability, not simply his or her impairment, has lasted for at least twelve consecutive
months. See 42 U.S.C. § 423(d)(1)(A).
To determine whether the adult claimant suffers from a disability, the Commissioner uses
the familiar five-step sequential evaluation. He determines: (1) whether the claimant is presently
engaged in a “substantial gainful activity”; (2) whether the claimant has a severe impairment that
significantly limits the claimant’s physical or mental ability to perform basic work activities; (3)
whether the claimant has an impairment that meets or equals a presumptively disabling impairment
listed in the regulations (if so, the claimant is disabled without regard to age, education, and work
experience); (4) whether the claimant has the Residual Functional Capacity (RFC) to perform his
or her past relevant work; and (5) if the claimant cannot perform the past work, the burden shifts to
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the Commissioner to prove that there are other jobs in the national economy that the claimant can
perform. See Cox, 160 F.3d at 1206; 20 C.F.R. §§ 404.1520(a)-(f). The fact finder only considers
the plaintiff’s age, education, and work experience in light of his or her RFC if the final stage of this
analysis is reached. See 20 C.F.R. §§ 404.1520, 416.920 (2003).
3. Discussion:
In her appeal brief, Plaintiff claims the ALJ’s disability determination is not supported by
substantial evidence in the record. ECF No. 7, Pg. 8-19. Specifically, Plaintiff claims the ALJ erred
(1) in failing to fully develop the record, (2) in his credibility determination of Plaintiff’s subjective
complaints, (3) in determining Plaintiff’s RFC, and (4) failed to give proper treatment to the opinions
of Plaintiff’s treating physician. In response, the Defendant argues the ALJ did not err in any of his
findings. ECF No. 8. Because this Court finds the ALJ erred in the RFC determination of Plaintiff,
this Court will only address this issue.
Prior to Step Four of the sequential analysis in a disability determination, the ALJ is required
to determine a claimant’s RFC. See 20 C.F.R. § 404.1520(a)(4)(iv). This RFC determination must
be based on medical evidence that addresses the claimant’s ability to function in the workplace. See
Stormo v. Barnhart, 377 F.3d 801, 807 (8th Cir. 2004). The ALJ should consider “‘all the evidence
in the record’ in determining the RFC, including ‘the medical records, observations of treating
physicians and others, and an individual’s own description of his limitations.’” Stormo v. Barnhart,
377 F.3d 801, 807 (8th Cir. 2004) (quoting Krogmeier v. Barnhart, 294 F.3d 1019 (8th Cir. 2002)).
In social security cases where a mental impairment is alleged, it is important for an ALJ to
evaluate a claimant’s Global Assessment of Functioning (“GAF”) score in determining whether that
claimant is disabled due to the claimed mental impairment. GAF scores range from 0 to 100. Am.
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Psychiatric Ass’n, Diagnostic & Statistical Manual of Mental Disorders (DSM-IV-TR) 34 (4th ed.,
text rev. 2000). The Eighth Circuit has repeatedly held that GAF scores (especially those at or below
40) must be carefully evaluated when determining a claimant’s RFC. See, e.g., Conklin v. Astrue,
360 F. App’x. 704, 707 (8th Cir. 2010) (reversing and remanding an ALJ’s disability determination
in part because the ALJ failed to consider the claimant’s GAF scores of 35 and 40); Pates-Fires v.
Astrue, 564 F.3d 935, 944-45 (8th Cir. 2009) (holding that the ALJ’s RFC finding was not supported
by substantial evidence in the record as a whole, in part due to the ALJ’s failure to discuss or
consider numerous GAF scores below 50).
Indeed, a GAF score at or below 40 should be carefully considered because such a low score
reflects “a major impairment in several areas such as work, family relations, judgment, or mood.”
Conklin, 360 F. App’x at 707 n.2 Am. Psychiatric Ass’n, Diagnostic & Statistical Manual of Mental
Disorders (DSM-IV-TR) 34 (4th ed., text rev. 2000)). A GAF score of 40 to 50 also indicates a
claimant suffers from severe symptoms. Specifically, a person with that GAF score suffers from
“[s]erious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting) OR any
serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep
a job).” Am. Psychiatric Ass’n, Diagnostic & Statistical Manual of Mental Disorders (DSM-IV-TR)
34 (4th ed., text rev. 2000).
Between May 2009 and February 2011, Plaintiff had numerous GAF scores which ranged
from a low of 16 to a high of 55, with the vast majority scores being in the 40's. A sampling of these
scores is as follows:
Date
GAF Score
Tr. #
May 15, 2009
August 5, 2009
37
51
398
410
6
November 6, 2009
December 9, 2009
December 11, 2009
February 6, 2010
February 15, 2010
February 22, 2010
March 15, 2010
March 29, 2010
April 12, 2010
April 25, 2010
May 4, 2010
May 11, 2010
May 15, 2010
May 25, 2010
June 15, 2010
June 29, 2010
July 26, 2010
August 31, 20101
September 13, 2010
October 8, 2010
November 2, 2010
November 8, 2010
November 24, 2010
December 9, 2010
December 16, 2010
December 30, 2010
February 8, 2011
16
31
42
50
47
50
45
48
45
44
38
50-55
48
46
44
46
42
50
40
48
42
42
44
42
44
48
48
182
218
216
239
232
228
226
223
317
315
312
244
309
307
304
302
300
356
369
353
352
364
351
350
349
348
347
The ALJ’s opinion made reference to Plaintiff’s scores but found them not to be a reliable
measure of functional ability as they only reveal a picture in time and do not necessarily correlate
with disability. (Tr. 21). As discussed above, a GAF score of 40 to 50 also indicates an individual
who suffers from severe symptoms. The ALJ’s dismissal of these scores with no analysis was error.
It was the ALJ’s responsibility to properly evaluate those GAF scores and make a finding regarding
their reliability as a part of the underlying administrative proceeding. See Conklin, 360 F. App’x at
707. Indeed, it is especially important that the ALJ address low GAF scores where, as in this case,
Plaintiff has been diagnosed with major depressive disorder, anxiety disorder, and depression.
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Additionally, Plaintiff argues the ALJ failed to develop the record, in part based on a failure
to contact Plaintiff’s treating physicians regarding her RFC. Given the GAF scores and assessment
findings in Plaintiff’s records, the ALJ was arguably on notice of the need to clarify Plaintiff’s
mental RFC with her medical providers. See Conklin, 360 F. App’x at 707.
Thus, considering these facts, because the ALJ did not properly evaluate Plaintiff’s low GAF
scores, this case must be reversed and remanded for further evaluation of these scores. Upon
remand, the ALJ may still find Plaintiff not disabled, however a proper and complete analysis of
Plaintiff’s GAF scores should be performed.2
4. Conclusion:
Based on the foregoing, the undersigned finds that the decision of the ALJ, denying benefits
to Plaintiff, is not supported by substantial evidence and should be reversed and remanded. A
judgment incorporating these findings will be entered pursuant to Federal Rules of Civil Procedure
52 and 58.
ENTERED this 29th day of November 2012.
/s/ Barry A. Bryant
HON. BARRY A. BRYANT
U.S. MAGISTRATE JUDGE
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Based on these findings, I do not find it necessary to reach to other points of error raised by the Plaintiff in
this appeal.
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