Williams v. Colvin
Filing
17
REPORT AND RECOMMENDATIONS that the Commissioner's final decision be Affirmed, this civil action be Closed, and a final judgment be Entered in favor of the Commissioner - re 1 Complaint filed by Briana Katrell Williams. Objections to R&R due by 2/6/2017. Signed by Magistrate Judge Brian K. Epps on 1/20/17. (cmr)
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF GEORGIA
AUGUSTA DIVISION
BRIANA KATRELL WILLIAMS,
)
)
Plaintiff,
)
)
v.
) CV 116-002
)
CAROLYN W. COLVIN, Acting
)
Commissioner of Social Security
)
Administration,
)
)
Defendant.
)
_________________________________________________________
MAGISTRATE JUDGE’S REPORT AND RECOMMENDATION
_________________________________________________________
Briana Katrell Williams appeals the decision of the Acting Commissioner of Social
Security denying her application for Supplemental Security Income (“SSI”) under the Social
Security Act. Upon consideration of the briefs submitted by both parties, the record evidence,
and the relevant statutory and case law, the Court REPORTS and RECOMMENDS that the
Commissioner’s final decision be AFFIRMED, this civil action be CLOSED, and a final
judgment be ENTERED in favor of the Commissioner.
I.
BACKGROUND
Plaintiff applied for SSI on March 5, 2012, alleging a disability onset date of March 1,
2012. Tr. (“R.”), pp. 12, 151-54, 177. Plaintiff was twenty-one years old at her alleged
disability onset date and was twenty-three years old at the time the Administrative Law Judge
(“ALJ”) issued the decision currently under consideration. R. 22, 29.
Plaintiff applied for benefits based on allegations of psychotic episodes and
depression. R. 76, 177. Plaintiff completed ninth grade. R. 36, 177. Prior to her alleged
disability, Plaintiff had never had a full-time job, and her work history consisted of brief jobs
at a Dollar Tree, the Salvation Army, and a fast food restaurant. R. 37, 158, 164-65, 220,
222, 227. Plaintiff had also performed part-time day care work in relation to obtaining
welfare benefits that, along with food stamps, Plaintiff received to take care of her toddler
daughter. R. 42, 222. None of Plaintiff’s prior jobs qualified as past relevant work under 20
C.F.R. § 416.965. R. 20.
The Social Security Administration denied Plaintiff’s application initially, R. 77-80, and
on reconsideration, R. 89-91. Plaintiff requested a hearing before an ALJ, R. 93-94, and the ALJ
held a hearing on February 11, 2014. R. 27-54. At the hearing, the ALJ heard testimony from
Plaintiff, who appeared with counsel, as well as from Otis Pearson, a Vocational Expert. Id. On
April 25, 2014, the ALJ issued an unfavorable decision. R. 9-26.
Applying the sequential process required by 20 C.F.R. § 416.920, the ALJ found:
1.
The claimant has not engaged in substantial gainful activity since March 5,
2012, the application date (20 C.F.R. § 416.971 et seq.).
2.
The claimant has the following severe impairments: depression, anxiety,
and schizoaffective disorder (20 C.F.R. § 416.920(c)).
3.
The claimant does not have an impairment or combination of impairments
that meets or medically equals the severity of one of the listed
impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1 (20 C.F.R.
§§ 416.920(d), 416.925, and 416.926).
4.
The claimant has the residual functional capacity (“RFC”) to perform a
full range of work at all exertional levels but with postural and mental
limitations. In particular, the claimant can perform work that requires no
more than occasional climbing of ladders, ropes, and scaffolds. She must
avoid concentrated exposure to unprotected heights or hazardous
machinery. Additionally, she is limited to positions requiring only simple,
2
rote, and repetitive tasks performed in a low stress work environment (i.e.
no fixed or rigid production quotas, no hazardous conditions, and only
occasional changes in the work setting). She is further limited to jobs that
require only occasional or superficial interaction with the general public;
and only occasional interaction with coworkers. The claimant has no past
relevant work (20 C.F.R. § 416.965).
5.
Considering the claimant’s age, education, work experience, and RFC,
there are jobs that exist in significant numbers in the national economy
that the claimant can perform, including hand packager, garment folder,
and remnant sorter (20 C.F.R. §§ 416.969, and 416.969(a)). Therefore,
the claimant was not under a disability, as defined in the Social
Security Act, since March 5, 2012, the date the application was filed
(20 C.F.R. § 416.920(g)).
R. 14-22.
When the Appeals Council (“AC”) denied Plaintiff’s request for review, R. 1-5, the
Commissioner’s decision became “final” for the purpose of judicial review. 42 U.S.C. § 405(g).
Plaintiff then filed this civil action requesting reversal or remand of that adverse decision.
Plaintiff argues that the Commissioner’s decision is not supported by substantial evidence
because the ALJ: (1) failed to develop a full and fair record; and (2) erroneously evaluated
Plaintiff’s credibility. See doc. no. 15 (“Pl.’s Br.”). The Commissioner maintains the decision
to deny Plaintiff benefits is supported by substantial evidence and should therefore be
affirmed. See doc. no. 16 (Comm’r’s Br.”).
II.
STANDARD OF REVIEW
Judicial review of social security cases is narrow and limited to the following questions:
(1) whether the Commissioner’s findings are supported by substantial evidence, and (2) whether
the Commissioner applied the correct legal standards. Lewis v. Callahan, 125 F.3d 1436, 1439
(11th Cir. 1997). When considering whether the Commissioner’s decision is supported by
substantial evidence, the reviewing court may not decide the facts anew, reweigh the evidence,
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or substitute its judgment for the Commissioner’s. Moore v. Barnhart, 405 F.3d 1208, 1211
(11th Cir. 2005); Cornelius v. Sullivan, 936 F.2d 1143, 1145 (11th Cir. 1991). Notwithstanding
this measure of deference, the Court remains obligated to scrutinize the whole record to
determine whether substantial evidence supports each essential administrative finding.
Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir. 1983).
The Commissioner’s factual findings should be affirmed if there is substantial evidence
to support them. Barron v. Sullivan, 924 F.2d 227, 230 (11th Cir. 1991). Substantial evidence is
“more than a scintilla, but less than a preponderance: ‘[i]t is such relevant evidence as a
reasonable person would accept as adequate to support a conclusion.’” Martin v. Sullivan, 894
F.2d 1520, 1529 (11th Cir. 1990) (quoting Bloodsworth, 703 F.2d at 1239). If the Court finds
substantial evidence exists to support the Commissioner’s factual findings, it must uphold the
Commissioner even if the evidence preponderates in favor of the claimant. Crawford v. Comm’r
of Soc. Sec., 363 F.3d 1155, 1158-59 (11th Cir. 2004). Finally, the Commissioner’s findings of
fact must be grounded in the entire record; a decision that focuses on one aspect of the evidence
and disregards other contrary evidence is not based upon substantial evidence. McCruter v.
Bowen, 791 F.2d 1544, 1548 (11th Cir. 1986).
The deference accorded the Commissioner’s findings of fact does not extend to her
conclusions of law, which enjoy no presumption of validity. Brown v. Sullivan, 921 F.2d 1233,
1236 (11th Cir. 1991) (holding that judicial review of the Commissioner’s legal conclusions are
not subject to the substantial evidence standard). If the Commissioner fails either to apply
correct legal standards or to provide the reviewing court with the means to determine whether
correct legal standards were in fact applied, the Court must reverse the decision. Wiggins v.
Schweiker, 679 F.2d 1387, 1389 (11th Cir. 1982).
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III.
DISCUSSION
Plaintiff argues the ALJ failed to develop a full and fair record, and this error in not
properly developing the record led to an erroneous evaluation of Plaintiff’s credibility. See
Pl.’s Br., pp. 7-16. The Commissioner asserts the ALJ properly exercised his judgment to
determine additional evidence was not needed to decide Plaintiff’s claim and properly
considered and explained his multiple reasons for determining Plaintiff’s subjective complaints
were not fully credible. Comm’r’s Br., pp. 3-13. As explained below, the ALJ had sufficient
information to render an informed decision and properly evaluated Plaintiff’s credibility.
Therefore, none of Plaintiff’s arguments form a valid basis for reversal or remand.
A.
The ALJ Satisfied His Basic Obligation to Develop a Full and Fair Record.
A claimant has the burden of proving her disability and is responsible for providing
evidence in support of her claim. Ellison v. Barnhart, 355 F.3d 1272, 1276 (11th Cir. 2003).
Nevertheless, “because a hearing before an ALJ is not an adversary proceeding, the ALJ has a
basic obligation to develop a full and fair record.” Larry v. Comm’r of Soc. Sec., 506 F. App’x
967, 969 (11th Cir. 2013) (citing Cowart v. Schweiker, 662 F.2d 731, 735 (11th Cir. 1981)). In
fulfilling his duty to conduct a full and fair inquiry, the ALJ is not required to obtain
additional information by ordering a consultative examination unless the record establishes
that such an examination is necessary to enable an ALJ to render an informed decision.
Ingram v. Comm’r of Soc. Sec. Admin., 496 F.3d 1253, 1269 (11th Cir. 2007); Wilson v. Apfel,
179 F.3d 1276, 1278 (11th Cir. 1999); Holladay v. Bowen, 848 F.2d 1206, 1210 (11th Cir.
1988). The regulations also provide the ALJ may order a consultative examination when
warranted. See 20 C.F.R. § 416.917. “It is reversible error for an ALJ not to order a
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consultative examination when such an evaluation is necessary for him to make an informed
decision.” Reeves v. Heckler, 734 F.2d 519, 522 n.1 (11th Cir. 1984) (citation omitted).
Plaintiff argues the ALJ erred by not ordering a consultative examination because the
record showed “the absence of much treatment in 2013 and 2014.”
Pl.’s Br., p. 7.
According to Plaintiff, instead of relying on “the multiple significant gaps in medical
treatment for almost 9 months, from July 2012 to April 2013 and April 2013 through January
2014” to discount Plaintiff’s credibility, (R. 20), the ALJ should have ordered a consultative
examination.1 Plaintiff points to nothing suggesting she ever alleged during the
administrative proceedings that additional medical evidence was necessary or requested, and
importantly, the ALJ did not make his disability determination solely based on gaps in
treatment. “Instead, he considered this failure to seek treatment in [the] context of the entire
record, which showed that Plaintiff retained normal speech, cooperative and calm behavior,
and full orientation and no psychomotor abnormalities in July 2012, and denied
hallucinations or perceptual disturbance in April 2013, among other unremarkable findings.”
Comm’r Br., p. 6 (citing R. 300, 306).
Indeed, the record contained treatment notes from Dr. Ajai Kalla at American Work,
Inc., chronicling Plaintiff’s mental health treatment, and as reviewed by the ALJ, Plaintiff
reported she was doing fine and not experiencing any side effects from her medication; the
treatment notes did not identify significant abnormalities. R. 18 (citing Exs. 5F and 6F, R.
293-305); R. 20 (citing Ex. 7F, R. 306-07). These records memorialize, inter alia, Plaintiff
was able to work thirty hours per week to obtain welfare benefits, (R. 42, 302), and in April
2013, “seemed to be much better and did not seem to verbalize having any significant anxiety
1
Plaintiff’s arguments concerning credibility are examined in detail in Part III.B, infra.
6
or psychotic symptoms.” (R. 307). Counsel’s pre-hearing letter to the ALJ did not mention
the need for additional medical evidence, and indeed referenced the evidence from American
Work, Inc., upon which the ALJ relied in his decision. R. 224-25. Likewise, at the hearing,
the ALJ asked counsel if he considered the record complete, and counsel answered
affirmatively. R. 32. Nor did counsel request at the conclusion of the hearing that the record
be held open for additional information. R. 53-54.
Importantly, the ALJ also had in the record the opinion of two state agency reviewers
who opined Plaintiff was not disabled. Social Security Ruling (“SSR”) 96-6p provides that
findings of fact made by state agency medical and psychological consultants regarding the
nature and severity of an individual’s impairments must be treated as expert opinion
evidence of a nonexamining source at the ALJ and AC levels of administrative review. SSR
96-6p, 1996 WL 374180, at *1 (July 2, 1996). Robert Koontz, Ph.D., reviewed the medical
evidence, noting Plaintiff had been admitted for inpatient psychological treatment over six
months prior to the alleged onset date, but it had been in the context of post-partum
depression.
R. 58.
Moreover, a longitudinal review of the treatment records showed
Plaintiff’s most prominent psychological symptoms were moderated when Plaintiff was
compliant with her medication. Id. Dr. Koontz stated a consultative examination was not
required. Id. Plaintiff’s moderate limitations in concentration and persistence, as well as
social interaction, were noted as not substantial and accounted for by the ALJ in his RFC for
simple, rote and repetitive tasks performed in a low stress work environment. R. 17, 61-62.
The RFC also called for only occasional or superficial interaction with the general public,
and only occasional interaction with co-workers. R. 17.
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Robbie Ronin, Psy.D., likewise reviewed the medical records and opined a
consultative examination was not needed. R. 69. Dr. Ronin noted Plaintiff had some
moderate limitations, but those limitations were not substantial and did not preclude the
performance of simple tasks, adequate coping, or interacting appropriately with co-workers.
R. 71-73. As set forth above, the limitations identified by both Dr. Koontz and Dr. Ronin
were accounted for in the ALJ’s RFC for Plaintiff.
To the extent Plaintiff argues the ALJ should have investigated Plaintiff’s mental
health prior to the alleged onset date, the argument misses the mark. The ALJ heard
Plaintiff’s testimony she had previously had a psychiatric hospitalization for approximately
one week because she was “overwhelmed.” R. 38. The inpatient treatment notes were part
of the record, (R. 226-77), the ALJ acknowledged the prior hospitalization, (R. 18), and Dr.
Koontz specifically referenced the hospitalization and the relatedness to post-partum
depression, (R. 58). Plaintiff does not explain what other information pre-dating the alleged
onset date should have been developed, let alone explain the relevance of any such
information to the current disability application.
Moreover, simply listing various diagnoses and medications does not support the
conclusion that additional medical evidence was needed to develop a full and fair record for the
disability determination. Not only is the ultimate conclusion on disability an issue reserved for
the Commissioner, SSR 96-5p, but disability hinges on the functional limitations attendant to
diagnoses that would prevent an individual from working, not the mere existence of an
impairment. See Moore, 405 F.3d at 1213 n.6 (“[T]he mere existence of these impairments
does not reveal the extent to which they limit [the claimant’s] ability to work or undermine the
ALJ’s determination in that regard.”); see also Wind v. Barnhart, 133 F. App’x 684, 690-91
8
(11th Cir. 2005); 20 C.F.R. § 416.920(e)-(f). The ALJ determines the RFC based on an
analysis of all the relevant record evidence. 20 C.F.R. §§ 416.945(a) & 416.946(c). The ALJ
must give consideration to physician opinions in accordance with the applicable rules and
regulations, but the ALJ is not constrained to formulating the RFC based solely on such
opinions. See Langley v. Astrue, 777 F. Supp.2d 1250, 1258 (N.D. Ala. 2011) (explaining that
Eleventh Circuit “does not require an RFC from a physician” to deny disability benefits)
(citing Green v. Soc. Sec. Admin., 223 F. App’x 915, 923-24 (11th Cir. 2007)).
Therefore, a consultative examination was not necessary to obtain a physician’s opinion
as a basis for the RFC or to further support the ALJ’s ultimate disability determination made
after reviewing the entirety of the administrative record, which includes treatment records from
American Work, Inc., Serenity Behavioral Health Systems, the opinions of two psychological
consultants, Plaintiff’s testimony at the hearing, as well as functional reports of Plaintiff’s daily
activities. In sum, the ALJ was not left to speculate about Plaintiff’s condition, and there was
sufficient information in the record for the ALJ to make an informed decision based on
competent medical evidence. See Ingram v. Comm’r Soc. Sec. Admin., 496 F.3d 1253, 1269
(11th Cir. 2007) (recognizing ALJ not required to seek additional medical information so
long as record contains sufficient information to make an informed decision on a claimant’s
application).
B.
The ALJ Properly Analyzed Plaintiff’s Subjective Complaints.
In an argument that dovetails with her contention the ALJ failed to adequately develop
the record, Plaintiff also argues the ALJ erred in assessing her credibility as it relates to her
subjective complaints she could not work because of psychotic episodes and depression. Pl.’s
Br., pp. 13-16; R. 17, 177. According to Plaintiff, the ALJ did not adequately investigate the
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reason for treatment gaps in the record and unfairly relied on Plaintiff’s poor work history as a
reason supporting his credibility finding. The Commissioner maintains the ALJ explained his
credibility finding in accordance with the applicable regulations, properly relying on Plaintiff’s
daily activities and sporadic work history, as well as gaps in her treatment, to support his
decision. Comm’r’s Br., pp. 10-12.
1.
The Standard for Evaluating Subjective Complaints
The Eleventh Circuit has established a three-part standard for evaluating a claimant’s
subjective complaints. Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991). Under the
Eleventh Circuit’s standard, Plaintiff must show:
(1) evidence of an underlying medical
condition, and either (2) objective medical evidence that confirms the severity of the alleged
symptoms or the restriction arising therefrom, or (3) that the objectively determined medical
condition is such that it can reasonably be expected to give rise to the claimed restriction. Id.
When discrediting a claimant’s subjective allegations of disabling symptoms, the ALJ must
articulate “explicit and adequate” reasons for doing so, or “the implication must be so clear as to
amount to a specific credibility finding.” Foote v. Chater, 67 F.3d 1553, 1561-62 (11th Cir.
1995).
Under the applicable regulations, the ALJ must consider “all evidence, including
subjective statements about the intensity, persistence, and functionally limiting effects of pain [as
well as] the objective medical evidence, laboratory findings and statements from treating or
nontreating sources about how the symptoms affect the claimant in deciding the issue of
disability.” Jarrell v. Comm’r of Soc. Sec., 433 F. App’x 812, 814 (11th Cir. 2011) (citing 20
C.F.R. § 404.1529(c)(4)).
“Credibility determinations are, of course, for the [Commissioner], not the courts.” Ryan
v. Heckler, 762 F.2d 939, 942 (11th Cir. 1985). Moreover, this Court is required to uphold the
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Commissioner’s credibility determination if it is supported by substantial evidence. Fortenberry
v. Harris, 612 F.2d 947, 950 (5th Cir. 1980).2 As the Eleventh Circuit explained:
Although this circuit does not require an explicit finding as to credibility, . . . the
implication must be obvious to the reviewing court. The credibility determination
does not need to cite particular phrases or formulations but it cannot merely be a
broad rejection which is not enough to enable [the district court or this Court] to
conclude that [the ALJ] considered [the claimant’s] medical condition as a whole.
Dyer v. Barnhart, 395 F.3d 1206, 1210-11 (11th Cir. 2005) (internal quotation marks and
citations omitted). As explained below, the ALJ properly conducted the Holt analysis and
reached the conclusion that Plaintiff’s medically determinable impairments could reasonably be
expected to cause the alleged symptoms, but her subjective complaints concerning the intensity,
persistence, and limiting effects of the symptoms were not entirely credible.
2.
The ALJ Thoroughly Discussed and Properly Discredited
Plaintiff’s Subjective Complaints.
Plaintiff concedes the ALJ identified multiple reasons for his credibility finding:
[Plaintiff’s] failure to take psychiatric medications at certain times showed she
was “not serious about her health,” her reports were noted to be vague on one
examination, she has worked since her alleged onset date, there were multiple
gaps in her treatment in 2013 and 214, and she had a poor work history. R. 18-20.
Pl.’s Br., p. 13. Plaintiff argues, however, these reasons are insufficient because they are the
product of speculation and ignore the totality of the evidence or are otherwise a result of the
ALJ’s failure to adequately develop the record. Id.
The Commissioner likewise notes the multiple reasons the ALJ gave for discrediting
Plaintiff’s subjective complaints, a list of reasons similar to those acknowledged by Plaintiff.
Comm’r’s’ Br., pp. 10-12. Where the parties differ is the interpretation of the record as it relates
2
In Bonner v. City of Prichard, 661 F.2d 1206, 1209 (11th Cir. 1981) (en banc), the
Eleventh Circuit adopted as binding precedent all decisions of the former Fifth Circuit handed
down prior to October 1, 1981.
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to the ALJ’s decision not to credit the severity of Plaintiff’s claimed subjective complaints.
However, the question is not whether the ALJ could have reasonably credited Plaintiff’s
complaints, but rather, “whether the ALJ was clearly wrong to discredit” them. Werner v.
Comm’r of Soc. Sec., 421 F. App’x 935, 939 (11th Cir. 2011).
First, as explained above, the Court rejects the argument the ALJ failed to adequately
develop the record. Second, the Court rejects the argument it was improper for the ALJ to
consider Plaintiff’s lack of a consistent work history as a possible indication of “lack of
motivation to work rather than a lack of ability.” R. 20. Indeed, the Eleventh Circuit recently
approved of an ALJ considering a claimant’s lack of earnings as part of valid a credibility
determination that also cited, as the ALJ did in Plaintiff’s case, medical records. See Stultz v.
Comm’r of Soc. Sec., 628 F. App’x 665, 669 (11th Cir. 2015).
Third, minimal or no treatment for an alleged disabling condition may be validly
considered by an ALJ in discrediting a claimant’s subjective complaints. Castle v. Colvin, 557
F. App’x 849, 853 (11th Cir. 2014); Gamble v. Colvin, No. 5:13-CV-01959-SLB, 2015 WL
2095064, at *6 (N.D. Ala. May 5, 2015). Plaintiff’s suggestion the ALJ was required to
investigate whether a change in insurance accounted for gaps in treatment is a red herring.
Plaintiff scrupulously avoids saying she had no insurance or any means of support such that she
could not afford any treatment, only that a change in insurance may have prevented her from
seeing her preferred doctor. Plaintiff does not cite the Court to any case law suggesting a gap in
treatment may not be validly considered by the ALJ based solely on the conclusory statement a
claimant had access to treatment, but not by the provider of her choice.
In addition, the ALJ carefully compared Plaintiff’s subjective complaints to the objective
evidence to determine whether Plaintiff’s medical conditions could be expected to give rise to
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the level of limitations she claimed. The ALJ acknowledged doctors had diagnosed Plaintiff’s
symptoms as depression, anxiety, and schizoaffective disorder, but he also went on to review
treatment records showing episodes of improvement or regression depending on Plaintiff’s
adherence to prescribed medicinal regimens. R. 19-20 (citing Exs. 5F, 6F, 7F; R. 293-307).
Plaintiff argues the ALJ did not consider her testimony suggesting she had not taken medication
either because of a change in insurance, (R. 40), or because she was pregnant. Pl.’s Br., pp. 8,
12-13. A review of the cited testimony shows the questioning was not only about Plaintiff not
taking medicine for approximately two months prior to the hearing, but also related to when
Plaintiff had last been to American Work, Inc., for treatment and whether her medication had
been discontinued at that time. R. 40. However, Plaintiff also testified that she was not taking
medicine at the hearing because she was pregnant, (R. 35), but was feeling fine other than slight
stress from the hearing process, a fact the ALJ noted was contradictory to prior reported
hallucinations. R. 18, 39. Additionally, treatment notes cited by the ALJ show providers
questioning Plaintiff’s compliance with the prescribed medicinal regimen during multiple visits
in 2012, prior to the change in insurance coverage. R. 300, 302 (part of Ex. 6F cited at R. 15, 18,
19).
The ALJ also reviewed Plaintiff’s longitudinal reports of doing well versus reports of
hallucinations, paranoia, and anxiety attacks, some of which were described in treatment notes as
“vague.” R. 19, 302. The ALJ further noted treatment providers stated Plaintiff was cooperative
and calm, had full range and basically appropriate affect, logical and goal directed thought
processes, (R. 18-19 (citing Exs. 5F, 6F, 7F)), up until one month prior to the administrative
hearing. In January 2014, Plaintiff alleged to a new treatment provider a sad mood, always being
anxious, experiencing panic attacks, poor concentration and memory, and visual hallucinations,
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but the actual assessment at that January 2014 appointment was “unremarkable.” R. 20 (citing
Ex. 8F, R. 308-09). Plaintiff points to nothing in the medical record from any treatment provider
suggesting Plaintiff could not work under the limitations the ALJ put in place in the RFC.
The ALJ also juxtaposed Plaintiff’s claimed restrictions with other statements about her
participation in activities of daily living such as attending to her daily hygiene, performing
household chores, caring for her minor child, preparing meals, playing with her toddler daughter,
feeding herself, handling daily finances, shopping for necessities, operating a motor vehicle,
socializing with others, going out to dinner, and walking up to half a mile. R. 15, 17 (citing Ex.
4E); see also R. 45-50 (testifying as to daily activities). An ALJ may consider other activities
of daily living in assessing a claimant’s disability. See 20 C.F.R. §§ 416.912(b)(1)(iii) and
416.929(c)(3)(i); May v. Comm’r of Soc. Sec., 226 F. App’x 955, 958-59 (11th Cir. 2007);
Macia v. Bowen, 829 F.2d 1009, 1012 (11th Cir. 1987).
The ALJ also considered the statements of Plaintiff’s mother and a former employer who
listed various difficulties Plaintiff had when working as a requirement for her welfare benefits.
R. 18, 193-203. However, those statements were given only partial weight because those
opinions conflicted with the other evidence of record, as reviewed by the ALJ, and because of
the possibility the statements were made in sympathy for Plaintiff’s attempt to obtain disability
benefits. R. 18. Moreover, many of the difficulties noted by the former employer, (R. 201-03),
were accounted for by an RFC limiting Plaintiff to simple work in a low stress environment,
requiring limited interaction with the public and co-workers. R. 17. The ALJ also noted Plaintiff
had denied working since her alleged onset date. R. 19. However, her documented work
activity in 2013 to obtain welfare benefits not only undercut her credibility, but also supported
his conclusion Plaintiff was not disabled. R. 19, 222.
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In sum, the ALJ did not rely solely on one aspect of the record to discredit Plaintiff’s
subjective complaints, but instead relied on the record evidence in total in discrediting Plaintiff’s
subjective complaints. The ALJ relied on the medical record - including treatment gaps, vague
descriptions of symptoms, and inconsistent compliance taking prescribed medicine - a poor work
history, and reported activities of daily living. Much of Plaintiff’s argument goes to how, not
whether, the ALJ weighed the evidence, a task beyond this Court’s purview. Cornelius, 936
F.2d at 1145. Although Plaintiff may disagree with the conclusion reached by the ALJ, the
credibility determination is supported by substantial evidence.
IV.
CONCLUSION
For the reasons set forth above, the Court REPORTS and RECOMMENDS that the
Commissioner’s final decision be AFFIRMED, this civil action be CLOSED, and a final
judgment be ENTERED in favor of the Commissioner.
SO REPORTED and RECOMMENDED this 20th day of January, 2017, at Augusta,
Georgia.
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