Judge v. Deputy Commissioner for Operations
Filing
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MEMORANDUM Opinion and Order Signed by the Honorable Mary M. Rowland on 1/28/2019. Mailed notice. (dm, )
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ILLINOIS
EASTERN DIVISION
JACQUELINE J., 1
Plaintiff,
v.
NANCY A. BERRYHILL, Acting
Commissioner of Social Security, 2
No. 18 C 2401
Magistrate Judge Mary Rowland
Defendant.
MEMORANDUM OPINION AND ORDER
Plaintiff Jacqueline J. filed this action seeking reversal of the final decision of
the Commissioner of Social Security denying her application for disability insurance
benefits (DIB) under Title II and Supplemental Security Income (SSI) under Title
XVI of the Social Security Act. The parties consented to the jurisdiction of the
United States Magistrate Judge, pursuant to 28 U.S.C § 636(c), and filed cross
motions for summary judgment. This Court has jurisdiction pursuant to 42 U.S.C. §
1383(c) and 405(g). For the reasons stated below, the case is remanded for further
proceedings consistent with this Opinion.
1 In accordance with Internal Operating Procedure 22, the Court refers to Plaintiff only by her first
name and the first initial of her last name.
2 Nancy A. Berryhill has been substituted for her predecessor, Carolyn W. Colvin, as the proper
defendant in this action. Fed. R. Civ. P. 25(d).
I. PROCEDURAL HISTORY
On June 28, 2013, Plaintiff applied for both DIB and SSI, alleging that she
became disabled on February 26, 2013 due to mital valve prolapse, Bell’s palsy,
back pain, hearing loss, and diabetes. (R. at 335–341, 342–46, 385). Her claims were
denied initially on October 24, 2013, and upon reconsideration on November 18,
2014, after which Plaintiff requested a hearing. (Id. at 119–20, 183–84, 237–39,
240–41). Plaintiff, represented by counsel, testified at a hearing before an
Administrative Law Judge (ALJ) on September 14, 2016 (Id. at 44–118). The ALJ
also heard testimony from Grace Gianforte, a vocational expert (VE). (Id. at 101–
114).
The ALJ issued an unfavorable decision on February 8, 2017. (R. at 15–36).
Applying the five-step sequential evaluation process, the ALJ found, at step one,
that Plaintiff had not engaged in substantial gainful activity since February 26,
2013, her alleged disability onset date. (Id. at 18). At step two, the ALJ found that
Plaintiff’s Bell’s palsy, bilateral sensorineural hearing loss, diabetes mellitus,
complex migraine headaches (also described as CVAs), and degenerative disc
disease were severe impairments. (Id. at 18). The ALJ also concluded that Plaintiff’s
pulmonary embolism, hypertension, hyperlipidemia, peripheral neuropathy,
multiple bilateral non-obstructing renal stones, gastroesophageal reflux, depression,
and affective disorder were non-severe impairments. (Id. at 19–20). The ALJ found
that her lumbar radiculopathy, neuropathy in her extremities, cardiac and
respiratory impairments, Meniere’s disease, obesity, left foot pain, and urinary and
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fecal incontinence were non-medically determinable impairments. (Id.). At step
three, the ALJ determined that Plaintiff did not have an impairment or
combination of impairments that met or medically equaled the severity of any of the
listings enumerated in the regulations. (Id. at 24).
The ALJ then assessed Plaintiff’s Residual Functional Capacity (RFC) 3 and
determined that Plaintiff has the RFC to perform the full range of light work as
defined in 20 C.F.R. §§404.1567(b) and 416.967(b) except with the following
limitations:
lifting occasionally 20 pounds, frequently 10 pounds, carrying the same;
sit for six hours, stand for six hours, and walk for six hours; and
push/pull as much as she can lift/carry. Further, the claimant is not able
to climb any ladders, ropes, and scaffolds but is able to tolerate moderate
levels of noise as defined in Appendix D of Selected Characteristics of
Occupations (1993 edition). The claimant should never perform
telephone communications. She can avoid ordinary hazards in the
workplace such as boxes on the floor and doors ajar and can do tasks
that do not require depth perception, but should not be around
unprotected heights or moving mechanical parts. The claimant is
limited to frequent use of foot and hand controls and is able to frequently
handle, finger, and feel objects, frequently climb ramps and stairs, and
frequently balance. The claimant is using a cane for balance.
(R. at 26–27). Moving to step four, the ALJ determined that Plaintiff could not
perform any past relevant work. (Id. at 34). At step five, based on Plaintiff’s RFC,
age, education, work experience, and the Medical-Vocational Guidelines (20 C.F.R.
Park 404, Subpart P, Appendix 2), the ALJ determined that jobs exist in significant
numbers in the national economy that Plaintiff could perform, such as identification
Before proceeding from step three to step four, the ALJ assesses a claimant’s RFC. 20 C.F.R. §§
404.1520(a)(4), 416.920(a)(4). “The RFC is the maximum that a claimant can still do despite his
mental and physical limitations.” Craft v. Astrue, 539 F.3d 668, 675-76 (7th Cir. 2008).
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clerk, food checker, and cashier. (R. at 35). Accordingly, the ALJ concluded that
Plaintiff was not under a disability from her alleged disability onset date, February
26, 2013, through the date of the ALJ’s decision. (Id. at 36).
On February 2, 2018, the Appeals Council denied Plaintiff’s request for
review. (R. at 1–6). Plaintiff now seeks judicial review of the ALJ’s decision, which
stands as the final decision of the Commissioner. Villano v. Astrue, 556 F.3d 558,
561-62 (7th Cir. 2009).
II. STANDARD OF REVIEW
A Court reviewing the Commissioner’s final decision may not engage in its own
analysis of whether the plaintiff is severely impaired as defined by the Social Security
Regulations. Young v. Barnhart, 362 F.3d 995, 1001 (7th Cir. 2004). Nor may it
“reweigh evidence, resolve conflicts in the record, decide questions of credibility, or,
in general, substitute [its] own judgment for that of the Commissioner.” Id. The
Court’s task is “limited to determining whether the ALJ’s factual findings are
supported by substantial evidence.” Id. (citing § 405(g)). Evidence is considered
substantial “if a reasonable person would accept it as adequate to support a
conclusion.” Indoranto v. Barnhart, 374 F.3d 470, 473 (7th Cir. 2004); see Moore v.
Colvin, 743 F.3d 1118, 1120–21 (7th Cir. 2014) (“We will uphold the ALJ’s decision if
it is supported by substantial evidence, that is, such relevant evidence as a reasonable
mind might accept as adequate to support a conclusion.”) (citation omitted).
“Substantial evidence must be more than a scintilla but may be less than a
preponderance.” Skinner v. Astrue, 478 F.3d 836, 841 (7th Cir. 2007). “In addition to
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relying on substantial evidence, the ALJ must also explain his analysis of the
evidence with enough detail and clarity to permit meaningful appellate review.”
Briscoe ex rel. Taylor v. Barnhart, 425 F.3d 345, 351 (7th Cir. 2005).
Although this Court accords great deference to the ALJ’s determination, it “must
do more than merely rubber stamp the ALJ’s decision.” Scott v. Barnhart, 297 F.3d
589, 593 (7th Cir. 2002) (citation omitted). “This deferential standard of review is
weighted in favor of upholding the ALJ’s decision, but it does not mean that we scour
the record for supportive evidence or rack our brains for reasons to uphold the ALJ’s
decision. Rather, the ALJ must identify the relevant evidence and build a ‘logical
bridge’ between that evidence and the ultimate determination.” Moon v. Colvin, 763
F.3d 718, 721 (7th Cir. 2014). Where the Commissioner’s decision “lacks evidentiary
support or is so poorly articulated as to prevent meaningful review, the case must be
remanded.” Steele v. Barnhart, 290 F.3d 936, 940 (7th Cir. 2002).
III. DISCUSSION
Plaintiff makes a number of arguments challenging the ALJ’s decision. After
reviewing the record and the parties’ briefs, the Court is convinced by Plaintiff’s
arguments that the ALJ erred in failing to properly account for Plaintiff’s mental
impairments. 4
At step two, the ALJ found that Plaintiff’s medically determinable mental
impairments of depression and adjustment disorder were non-severe but
Because the Court remands on this basis, it does not address Plaintiff’s other arguments at this
time.
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nonetheless caused mild limitations in understanding, remembering or applying
information; concentrating; persisting or maintaining pace, and adapting or
managing oneself. (R. at 23–24). 5 Despite noting these limitations, the ALJ did not
include any non-exertional limitations in the RFC assessment. (Id. at 26–24). Nor
did the ALJ explain his rationale for not including non-exertional limitations in the
RFC. Such an explanation is necessary for judicial review, as without it, the Court
cannot follow the ALJ’s reasoning. See Alesia v. Astrue, 789 F. Supp. 2d 921, 933–34
(N.D. Ill. 2011) (remanding when the ALJ’s RFC analysis failed to account for mild
mental limitations); Paar v. Astrue, No. 09 C 5169, 2012 WL 123596, at *13 (N.D.
Ill. Jan. 17, 2012) (same).
Although a mild limitation in an area of mental functioning does not
necessarily “prevent an individual from functioning ‘satisfactorily,’” Sawyer v.
Colvin, 512 F. App’x 603, 611 (7th Cir. 2013) (citation omitted), the ALJ is still
required to analyze the limitations in light of Plaintiff’s other impairments when
determining the RFC. See Denton v. Astrue, 596 F.3d 419, 423 (7th Cir.2010) ( “A
failure to fully consider the impact of non-severe impairments requires reversal.”);
see also Villano, 556 F.3d at 563 (“the ALJ must evaluate all limitations that arise
from medically determinable impairments, even those that are not severe”);
Golembiewski v. Barnhart, 322 F.3d 912, 918 (7th Cir. 2003) (“Having found that
Effective January 17, 2017, the Agency revised the medical criteria for evaluating mental disorders
and changed the requirements of listing for mental impairments. See 81 Fed. Reg. 66137 (Sept. 26,
2016). The Agency expects that federal courts will review its “final decisions using the rules that
were in effect at the time we issued the decisions.” Id. at 66138 & n. 1. Because the ALJ issued his
decision on February 8, 2017, the Court will use these revised medical criteria in its review of the
ALJ’s decision.
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one or more of [claimant’s] impairments was “severe,” the ALJ needed to consider
the aggregate effect of this entire constellation of ailments–including those
impairments that in isolation are not severe.”); 20 C.F.R. § 404.1523 (the combined
impact of the impairments must be "considered throughout the disability
determination process."); Simon-Leveque v. Colvin, 229 F.Supp. 3d 778, 787–88
(N.D. Ill January 17, 2017) (remanding when ALJ failed to explain why mild
limitations in mental functioning did not require RFC limitations); Dross-Swart v.
Astrue, 872 F. Supp. 2d 780, 795 (N.D. Ind. 2012) (same). “If the ALJ believed that
the mild limitations in these functional areas did not merit a non-exertional
limitation in the RFC, he was obligated to explain that conclusion so that we can
follow the basis of his reasoning.” Muzzarelli v. Astrue, No. 10 C 7570, 2011 WL
5873793, at *23 (N.D. Ill. Nov. 18, 2011) (citing Haynes v. Barnhart, 416 F.3d 621,
626 (7th Cir. 2005)). The ALJ did not do so here.
“The RFC is an assessment of what work-related activities the claimant can
perform despite her limitations.” Young, 362 F.3d at 1000; see 20 C.F.R. §
404.1545(a)(1) (“Your residual functional capacity is the most you can still do
despite your limitations.”); SSR 96-8p, at *2 6 (“RFC is an administrative assessment
of the extent to which an individual's medically determinable impairment(s),
including any related symptoms, such as pain, may cause physical or mental
SSRs “are interpretive rules intended to offer guidance to agency adjudicators. While they do not
have the force of law or properly promulgated notice and comment regulations, the agency makes
SSRs binding on all components of the Social Security Administration.” Nelson v. Apfel, 210 F.3d
799, 803 (7th Cir. 2000); see 20 C.F.R. § 402.35(b)(1). Although the Court is “not invariably bound by
an agency's policy statements,” the Court “generally defer[s] to an agency's interpretations of the
legal regime it is charged with administrating.” Liskowitz v. Astrue, 559 F.3d 736, 744 (7th Cir.
2009).
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limitations or restrictions that may affect his or her capacity to do work-related
physical and mental activities.”). The RFC is based upon medical evidence as well
as other evidence, such as testimony by the claimant or his friends and family.
Craft, 539 F.3d at 676. In assessing a claimant's RFC, “the ALJ must evaluate all
limitations that arise from medically determinable impairments, even those that
are not severe,” and may not dismiss evidence contrary to the ALJ's determination.
Villano, 556 F.3d at 563; see 20 C.F.R. § 404.1545(a)(1) (“We will assess your
residual functional capacity based on all relevant evidence in your case record.”);
SSR 96-8p, at *7 (“The RFC assessment must include a discussion of why reported
symptom-related functional limitations and restrictions can or cannot reasonably be
accepted as consistent with the medical and other evidence.”).
Nowhere in the ALJ’s RFC assessment or corresponding explanation does the
ALJ address the mild mental limitations discussed at step two. SSR 96-8p specifies
that mental limitations determined at step two under the “paragraph B and C”
criteria cannot stand in for an RFC determination. See SSR 96-8p, 1996 WL 374184,
at *4 (July 2, 1996) (“The mental RFC assessment used at steps 4 and 5 of the
sequential evaluation process requires a more detailed assessment by itemizing
various functions contained in the broad categories found in paragraphs B and C of
the adult mental disorders listings in 12.00 of the Listing of Impairments....”). The
ALJ acknowledged this at the end of his step two finding, stating:
The limitations identified in the “paragraph B” criteria are not a
residual functional capacity assessment but are used to rate the
severity of mental impairments at steps two and three of the
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sequential evaluation process. The mental residual functional capacity
assessment used at steps four and five of the sequential evaluation
process requires a more detailed assessment.
But the ALJ never gave a more detailed assessment in his step four and five
analysis. At the end of his step-two analysis, the ALJ simply stated: “The following
[RFC] assessment reflects the degree of limitation I have found in the ‘paragraph B’
mental function analysis.” (R. at 24).
“Courts have remanded cases where an ALJ relied on language identical to
that used at the end of Step 2 in this case because it fails to clarify the degree to
which the RFC expresses the functional limitations found under the special
technique.” Muzzarelli, 2011 WL 5873793, at *23 (“It is unclear what the ALJ
meant by saying that the RFC ‘reflects’ his Step 2 findings concerning [the
claimant’s] mild impairments.”); see also Alesia v. Astrue, 789 F. Supp. 2d 921, 933
(N.D. Ill. 2011) (remanding when an ALJ used the same language at the end of step
two, noting: “But [this language] was not enough, because the combined impact of
the impairments must be considered throughout the disability determination
process.” (citations and internal quotation marks omitted)). “If the ALJ believed
that the mild limitations in these functional areas did not merit a non-exertional
limitation in the RFC, he was obligated to explain that conclusion so that we can
follow the basis of his reasoning.” Muzzarelli, 2011 WL 5873793, at *23 (citing
Haynes v. Barnhart, 416 F.3d 621, 626 (7th Cir. 2005)). Here, remand is required
“because the ALJ failed to explain how his Step 2 discussion of [Plaintiff’s]
restrictions in [understanding, remembering or applying information;
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concentration, persistence or pace; and adapting or managing oneself] are ‘reflected’
in the RFC itself.” Muzzarelli, 2011 WL 5873793, at *23. Moreover, remand is
required because the ALJ failed to consider the aggregate impact of Plaintiff’s
severe physical impairments and non-severe mental impairments. Denton v. Astrue,
596 F.3d 419, 423 (7th Cir. 2010) (“When determining a claimant's RFC, the ALJ
must consider the combination of all limitations on the ability to work, including
those that do not individually rise to the level of a severe impairment.”) (citing 20
C.F.R. § 404.1523).
In addition, the ALJ’s analysis of Plaintiff’s mental limitations at step two
was inadequate. At step two, the ALJ found that Plaintiff had mild limitations in
understanding, remembering or applying information; concentrating, persisting or
maintaining pace; and adapting or managing herself. The ALJ stated that his step
two findings were supported by: (1) the assessment of only mild functional
limitations by the state agency consultants; and (2) the “generally benign” mental
status examinations throughout the relevant treatment period. The ALJ also
indicated that he did not give any weight to the Global Assessment of Functioning
(GAF) scores of three psychiatrists who found that Plaintiff had more severe
limitations. There are several errors in the ALJ’s reasoning.
First, the ALJ improperly relied on state agency doctors who did not review
the complete record. “An ALJ should not rely on an outdated assessment if later
evidence containing new, significant medical diagnoses reasonably could have
changed the reviewing physician’s opinion.” See Moreno v. Berryhill, 882 F.3d 722,
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728 (7th Cir. 2018), as amended on reh’g (Apr. 13, 2018). Here, the state agency
doctors completed their determinations in October of 2013 and July of 2014. (R. at
146, 180). At the time of their evaluations, Plaintiff had attended only one visit with
psychiatrist Anil Gandhi, M.D., who diagnosed Plaintiff with Adjustment Disorder
in May of 2013. (Id. at 787–89). After the state agency consultants’ review, Plaintiff
was evaluated by S. Koko, M.D. in October of 2014 and by psychiatrist Richard
Bongard, M.D. in May of 2016. (Id. at 1520–23, 2287–2297). Dr. Koko noted that
Plaintiff had depressed mood, poor concentration, poor sleep, loss of appetite, social
withdrawal and isolation, feelings of hopelessness or helplessness, and thoughts of
suicide. (Id. at 1520–23). The doctor diagnosed her with major depressive disorder
with anxious distress and a rule out diagnosis of posttraumatic stress disorder.
(Id.). Dr. Bongard indicated that Plaintiff had depressed mood, auditory
hallucinations, social isolation, poor concentration and forgetfulness, and
nightmares regarding a past traumatic event. (Id. at 2287–2292). He diagnosed
Plaintiff with major depressive disorder, recurrent, moderate and post-traumatic
stress disorder, chronic. (Id. at 2291). These subsequent evaluations by examining
psychiatrists “reasonably could have changed” the reviewing state agency
consultants’ opinions; and therefore, reliance on their assessments was improper.
Second, the ALJ erred in his reliance on “generally benign” mental status
examinations throughout the relevant period. While the ALJ does not give examples
of “generally benign” mental status examinations, Defendant notes that mental
status examinations from physicians treating Plaintiff’s physical condition were
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predominately normal. (Dkt. 21 at 6, 8, citing R. at 862, 873–74, 910–11, 1013, 1024,
1033, 1056, 1876, 1888, 1899, 1912, 1921, 1934–35, 1946, 1953, 1963, 1985, 1996,
1999, 2078–79, 1767, 1777, 2902, 2910). The Seventh Circuit has cautioned against
drawing a negative inference about a claimant’s mental condition based on the lack
of documentation of mental health symptoms in the records of physicians treating a
claimant’s physical condition. O’Connor–Spinner v. Colvin, 832 F.3d 690, 698 (7th
Cir. 2016) (“The ALJ inexplicably drew a negative inference from the fact that doctors
treating O'Connor–Spinner's physical ailments had not commented on her
concentration, memory, or social functioning.”) (emphasis in original). Further, the
ALJ does not explain how mental status examinations from examining psychiatrists
during the relevant time-period support only mild mental limitations. For instance,
on October 2, 2014, Dr. Koko’s mental status examination indicated depressed and
anxious mood, suicidal ideation, thought preoccupation, and anxious and depressive
cognitive distortions. (R. at 1521–23). On May 5, 2016, Dr. Bongard’s mental status
evaluation revealed depressed mood, constricted affect, auditory hallucinations, and
an impaired ability to make reasonable decisions. (R. at 2289). “An ALJ cannot recite
only the evidence that supports his conclusion while ignoring contrary evidence.”
Meuser v. Colvin, 838 F.3d 905, 912 (7th Cir. 2016) see also Denton, 596 F.3d at 425
(“An ALJ has the obligation to consider all relevant medical evidence and cannot
simply cherry-pick facts that support a finding of non-disability while ignoring
evidence that points to a disability.”)
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Third, the ALJ impermissibly rejected all of the Global Assessment of
Functioning (GAF) scores in the record without referring to other medical evidence
given by the psychiatrists to support their evaluations, and without explaining how
the scores were inconsistent with the record. 7 See Knapp v. Berryhill, 741 Fed.
Appx. 324, 329 (7th Cir. 2018) (“The ALJ discounted the GAF scores saying they
captured just a “snapshot” and were subjective. But the ALJ was not permitted,
without referring to medical evidence or ordering additional testing, to reject [the
doctor’s] GAF ratings.”). Plaintiff was assigned three GAF scores over the course of
three years by three different psychiatrists. (R. at 788, 1523, 2291). In May of 2013,
Dr. Gandhi gave her a GAF score of 60, indicating moderate symptoms or
difficulties in functioning. 8 (R. at 21, 788). In October of 2014, Dr. Koko assigned
Plaintiff a GAF score of 50, indicating serious symptoms or limitations in
functioning. 9 (Id. at 1523). In May of 2016, Dr. Bongard also assigned Plaintiff a
GAF score of 50. (Id. at 2291). The ALJ dismissed all of Plaintiff’s GAF scores,
GAF includes a scale ranging from 0-100, and it indicates a “clinician’s judgment of the individual’s
overall level of functioning.” American Psychiatric Association, Diagnostic and Statistical Manual of
Mental Disorders (4th ed. Text Rev. 2000) (hereinafter DSM-IV). The Court notes that the fifth
edition of the DSM, published in 2013, has abandoned the GAF scale because of “its conceptual lack
of clarity … and questionable psychometrics in routine practice.” American Psychiatric Association,
Diagnostic and Statistical Manual of Mental Disorders 16 (5th ed. 2013); see Williams v. Colvin, 757
F.3d 610, 613 (7th Cir. 2014) (recognizing that the American Psychiatric Association abandoned the
GAF scale after 2012). “Although another metric has replaced the GAF, the agency still considers
these scores as relevant, medical-opinion evidence.” Knapp v. Berryhill, 741 F. App'x 324, 329 (7th
Cir. 2018) (citing See Soc. Sec. Admin., Administrative Message 13066 (July 22, 2013); Gerstner v.
Berryhill, 879 F.3d 257, 263 n.1 (7th Cir. 2018)).
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A GAF score of 51 to 60 indicates moderate symptoms or moderate difficulty in social, occupational,
or school functioning. DSM-IV at 34.
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A GAF score of 41–50 indicates serious symptoms (e.g., suicidal ideation, severe obsession rituals,
frequent shoplifting) or any serious impairment in social, occupational, or school functioning (e.g., no
friends, unable to keep a job). DSM-IV at 34.
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finding that they represented “a particular clinician’s subjective evaluation at a
single point in time.” (Id. 21–22).
While GAF scores do not prove or disprove disability as they do not
necessarily reflect a clinician’s opinion of functional capacity, Denton v. Astrue, 596
F.3d 419, 425 (7th Cir. 2010), GAF scores are still considered relevant, medicalopinion evidence. See Soc. Sec. Admin., Administrative Message 13066 (July 22,
2013); Gerstner v. Berryhill, 879 F.3d 257, 263 n.1 (7th Cir. 2018). In this case,
Plaintiff’s GAF scores in the moderate to severe range given over the course of three
years by three different psychiatrists could suggest more serious limitations than
the ALJ assigned. Yurt v. Colvin, 758 F.3d 850, 859-60 (7th Cir. 2014) (finding that
although the ALJ was not required to give any weight to individual GAF scores,
“the problem here is not the failure to individually weigh the low GAF scores but a
larger general tendency to ignore or discount evidence favorable to [Plaintiff’s]
claim, which included GAF scores from multiple physicians suggesting a far lower
level of functioning than that captured by the ALJ’s hypothetical and mental
RFC.”). The ALJ’s failure to address corroborative evidence in the doctors’
evaluations or to explain how the scores were inconsistent with the record was
error.
In sum, remand is required because the ALJ failed to: 1) account for
Plaintiff’s mental limitations in the RFC; 2) assess the combined impact of
Plaintiff’s non-severe mental limitations with Plaintiff’s severe physical
impairments in the RFC, and 3) properly explain his step two findings of mild
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mental limitations. On remand, the ALJ shall reconsider Plaintiff’s mental
limitations at step two and incorporate Plaintiff’s mental impairments into the RFC
assessment used at steps four and five in accordance with SSR 96-8p.
IV. CONCLUSION
For the reasons stated above, Plaintiff’s request to remand for additional
proceedings [17] is GRANTED, and the Commissioner’s motion for summary
judgment [21] is DENIED. Pursuant to sentence four of 42 U.S.C. § 405(g), the ALJ’s
decision is reversed, and the case is remanded to the Commissioner for further
proceedings consistent with this opinion.
E N T E R:
Dated: January 28, 2019
MARY M. ROWLAND
United States Magistrate Judge
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