Cohadarevic v. Astrue

Filing 24

MEMORANDUM AND ORDER. (see order for details) IT IS HEREBY ORDERED that the decision of the Commissioner is REVERSED and this case is REMANDED for further proceedings as discussed above. An appropriate Order of Remand shall accompany this Memorandum and Order. Signed by Magistrate Judge Thomas C. Mummert, III on 03/24/2014. (CBL)

UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MISSOURI
EASTERN DIVISION
ESADA COHADAREVIC,
Plaintiff,
vs.
CAROLYN W. COLVIN, Acting
Commissioner of Social Security,
Defendant.

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Case number 4:12cv1835 TCM

MEMORANDUM AND ORDER
This 42 U.S.C. § 405(g) action for judicial review of the final decision of Carolyn W.
Colvin, the Acting Commissioner of Social Security (Commissioner), denying the
applications of Esada Cohadarevic for disability insurance benefits (DIB) under Title II of
the Social Security Act (the Act), 42 U.S.C. § 401-433, and for supplemental security income
(SSI) under Title XVI of the Act, 42 U.S.C. § 1381-1383b, is before the undersigned for a
final disposition pursuant to the written consent of the parties. See 28 U.S.C. § 636(c).
Procedural History
Ms. Cohadarevic applied for DIB and SSI in March 2010, alleging a disability as of
April 1, 2003, caused by a L5-S1 large disc herniation, sciatica, pressure on the nerve,
depression, and a right arm injury. (R. 1 at 117-26, 156.) Her applications were denied
initially and after a hearing in June 2011 before Administrative Law Judge (ALJ) Jhane

1

References to "R." are to the administrative record filed by the Commissioner with her

answer.

Pappenfus. (Id. at 9-34, 38-52, 57-61, 156.) The Appeals Council then denied her request
for review, thereby adopting the ALJ's decision as the final decision of the Commissioner.
(Id. at 1-3.)
Testimony Before the ALJ
Plaintiff, represented by counsel, and Gerald D. Belchick, Ph.D., a vocational expert,
testified at the hearing. Shortly after the testimony began, Plaintiff's counsel stated that he
had a translator present for Plaintiff.2 (Id. at 12.) After noting that two records reported that
Plaintiff spoke fluent English and another record indicated she no longer needed a translator,
the ALJ stated that the interpreter was not needed. (Id. at 12-13.)
Plaintiff testified that she was then thirty-seven years old. (Id. at 13.) She is married
and has two children under the age of eighteen. (Id. at 16.) She immigrated from Bosnia in
1998. (Id.) Her husband is a truck driver and is sometimes gone for an extended period of
time. (Id. at 33.)
Asked about her past jobs, Plaintiff explained that she worked "a heavy duty job,"
"like cleaning big machines." (Id. at 13-14.) Asked if she did packaging, Plaintiff replied,
"I work in like a heavy duty, like sanitation." (Id. at 14.) Asked what she meant by heavy
work, Plaintiff explained, "Me clean heavy, big machine that making food, and it's a big
company." (Id.) She occasionally lifted twenty pounds on the job. (Id.)

2

A Bosnian interpreter had been requested by the Social Security Administration for an earlier
hearing, but the hearing was then postponed. (Id. at 218.)
-2-

Asked by her attorney about her medical problems, Plaintiff testified she had been
told she has a problem with her disc. (Id. at 17.) She further stated that her husband could
explain better. (Id.) She also has "something like mental problem, depression." (Id.) Her
doctor had mentioned post-traumatic stress disorder (PTSD) related to what she had
experienced during the war in Bosnia. (Id. at 17-18.) She takes medication for high blood
pressure, depression, and panic attacks. (Id. at 18.) She also takes medication to help her
sleep. (Id.) Her illnesses cause her trouble when standing, sitting, and walking. (Id.) She
cannot sit for longer than an hour. (Id.) She often has to change positions. (Id.) She cannot
walk farther than "[l]ike half mile," and that is if she walks slowly (Id. at 19-20.) Her
husband helps her get dressed and helps her wash her hair. (Id. at 18-19.) She does not do
any household chores or cook. (Id. at 19.) She does not do the grocery shopping. (Id.) She
cannot repetitively bend over or stoop, and cannot lift anything. (Id. at 20.) Her sleep is
affected by her back injury. (Id. at 21.) She takes Cymbalta to help her sleep. (Id.)
Sometimes, she sleeps three hours or more during the day. (Id.)
Also, Plaintiff is tired. (Id.) She cannot be in a room when more than one person is
talking. (Id.) Because of this difficulty, she has had her husband remove the television from
their house. (Id. at 22.) Sometimes, she has to leave the room when people come over. (Id.
at 23.) Her depression causes her memory problems. (Id. at 22.)
The ALJ asked Plaintiff about a reference in her medical records with Dr. Asher to
her refusing therapy and counseling. (Id. at 24.) She explained that she was told she had to
do "go away therapy" and that she has trouble being in a group. (Id.) She stated that she is
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getting individual therapy or counseling. (Id.) The ALJ also asked Plaintiff how she can
describe her hypertension as high when the records describe it as under control. (Id. at 25.)
Plaintiff replied that it can be high if she is angry. (Id. at 26.)
Asked by the ALJ to describe Plaintiff's past work, Dr. Belchick described her work
as a dishwasher at a restaurant as unskilled and with a specific vocational preparation level
of two and an exertional level of light. (Id. at 27.) Her jobs in assembly work, production
line, factory work, and housekeeping were at the same levels. (Id. at 28.) None had any
transferable skills. (Id.) Asked if Plaintiff could perform her past relevant work if she was
limited to unskilled, light exertional work requiring only occasional stooping, crouching, and
crawling, Dr. Belchick replied that she could. (Id.)
Dr. Belchick further testified that if Plaintiff was limited to unskilled, sedentary work,
she could perform bench assembly or bench packaging work. (Id. at 28-29.) Work as an
unarmed security guard was unskilled and sedentary, but Plaintiff's language skills presented
a problem. (Id. at 29.)
Dr. Belchick was then asked by Plaintiff's attorney if the sedentary jobs he described
required at least six hours of sitting during an eight-hour day. (Id. at 30.) They did, with the
exception of the unarmed security guard. (Id.) That position had a sit/stand option. (Id. at
31.) If the person frequently found it difficult, because of anxiety and paranoia, to be in a
group without becoming agitated, the jobs would be eliminated. (Id. at 32.)

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Medical and Other Records Before the ALJ
The documentary record before the ALJ included forms completed as part of the
application process, documents generated pursuant to Plaintiff's applications, records from
health care providers, and assessments of her physical and mental residual functional
capacities.
When Plaintiff applied for DIB and SSI, the interviewer noted that Plaintiff did not
have trouble reading, understanding, or answering, but did have trouble sitting, standing, and
walking. (Id. at 153.)
Plaintiff disclosed on a Disability Report that she had completed the eighth grade. (Id.
at 157.) She answered "No" to the questions whether she could speak, read, and understand
English or write in English. (Id. at 155.)
On a Function Report Adult – Third Party, Plaintiff's husband reported that he helps
her get dressed and brush her teeth, washes her back and feet, and, sometimes, washes her
hair. (Id. at 168.) She does not cook. (Id. at 169.) She folds the laundry sitting down and
dusts the table. (Id.) She shops for food and clothing once a week for one hour. (Id. at 170.)
Her impairments adversely affect her abilities to lift, walk, remember, and concentrate. (Id.
at 172.) Lifting and walking causes her pain. (Id.) She cannot pay attention for long. (Id.)
With his help, she can follow written and spoken instructions. (Id.) She does not get along
well with authority figures.
Plaintiff also completed a Function Report, reporting that her son helps her brush her
teeth and hair and makes her a sandwich before he goes to school. (Id. at 187.) She sits for
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one hour before lying down. (Id.) She then gets up, walks around the house, and sits down
again. (Id.) When her children and husband come back, they eat. (Id.) Her husband takes
the children to school, makes the meals, and washes the clothes and dishes. (Id. at 188.) He
also tells her when to take her pills and what pills to take. (Id. at 189.) Her impairments
adversely affect her abilities to lift, walk, remember, and concentrate. (Id. at 192.) She
cannot walk for longer than ten minutes before having to stop and rest for twenty minutes.
(Id.) She does not know how well she follows written or spoken instructions. (Id.)
Plaintiff receives Medicaid. (Id. at 196.)
Plaintiff's medical records before the ALJ begin with those of her August 2005 visit
to Kenneth E. Harris, M.D., at St. Luke's Clinic for a right elbow injury caused when her arm
was caught between two conveyor belts. (Id. at 224-25.) Also, her right thumb was numb.
(Id. at 224.) Because of the pain, she had a limited range of motion in the elbow. (Id.) Dr.
Harris diagnosed a primarily soft tissue injury. (Id.) He opined that she would make a full
recovery. (Id. at 225.) She was placed in a splint for the wrist and a sling for her back. (Id.)
She was to elevate and ice her elbow whenever possible, started on ibuprofen, and prescribed
Vicodin. (Id.)
On August 11, Plaintiff saw Douglas Stagg, M.D., for her right elbow, hand, and wrist
injury. (Id. at 226-27.) She reported having difficulty sleeping at night; pain in her right
elbow, wrist and thumb; an inability to move her fingers; and difficulty moving her elbow.
(Id. at 226.) She was diagnosed with persistent right elbow, wrist, and thumb contusions
with sprains. (Id. at 227.) He encouraged her to start getting out of the sling and took her
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out of the splint. (Id.) Plaintiff saw Dr. Stagg again four days later, reporting that she was
still having a lot of pain and could not move the elbow, wrist, or hand. (Id. at 228-29.) Also,
her right hand was still numb. (Id. at 228.) On examination, Plaintiff could only flex and
extend her elbow a few degrees from the 90 degree position in which she held it. (Id.) She
could not move the hand, fingers, or wrist. (Id.) She was continued on the Motrin, Extra
Strength Tylenol, and Vicodin. (Id.)
Plaintiff reported to Dr. Stagg on September 1 that her elbow was better after she had
attended seven physical therapy sessions, but her wrist, hand, and fingers were not. (Id. at
230-32.)

She had been working sorting potatoes with her left hand and was now

experiencing neck pain, bilateral shoulder pain, and bilateral pain in her pectoral muscles.
(Id. at 230.) She had not been able to do housework; her husband was doing that and also
taking care of their children. (Id.) She appeared to be in mild discomfort. (Id.) She had an
improved range of motion in her right elbow, but could only move her right wrist a few
degrees from a neutral position and could not move her fingers at all. (Id.) She had a full
passive range of motion in her wrist and hand. (Id.) Her prescriptions were renewed. (Id.
at 231.) She was to continue with physical therapy. (Id.)
The next medical record is from March 2008 when Plaintiff consulted Sandra G.
Zakroff, M.D., with Family Care Health Centers (Family Care) to establish care. (Id. at 24647, 252-53.) She was noted to have multiple complaints, the most important of which was
right arm pain. (Id. at 246.) She also had chest pain and was nervous. (Id.) Her mother sent
her medication from Bosnia to relieve the pain. (Id.) The pain came when the weather
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changed or when it was night. (Id.) She has trouble with her memory. (Id.) She was
described as speaking English fluently, "but sometimes totally forgets how to speak or
understand." (Id.) She quit her job after she injured her right arm. (Id.) She slept most of
the day, and had daily headaches. (Id.) She smoked two packs of cigarettes a day. (Id.) She
was tearful, well-groomed, and had good eye contact. (Id. at 247.) Her judgment was fair
to poor. (Id.) Dr. Zakroff diagnosed Plaintiff with major depression with paranoid features
and prescribed Cymbalta. (Id.)
Nine days later, Plaintiff returned to Dr. Zakroff for complaints of depression,
reporting improvement on Cymbalta. (Id. at 245.) She continued, however, not to go out
much and stayed in bed until noon. (Id.) She was not sleeping well. (Id.) She was wellgroomed, had good eye contact, a flat affect, a nervous appearance, and fair to poor insight
and judgment. (Id.) Her diagnosis and prescription were unchanged. (Id.)
On April 15, Plaintiff saw Dr. Zakroff again for depression. (Id. at 244.) She was
feeling and sleeping better, and was not going back to bed after children left. (Id.) Instead,
she was staying up and doing housework and trying to go for a walk. (Id.) Her current
medications included Vistaril to help her sleep. (Id.)
Plaintiff was seen in April 2009 at the emergency room at St. Anthony's Health Center
for complaints of lumbar spine and left shoulder pain. (Id. at 234-40.) The pain had begun
two months earlier and had recently increased. (Id. at 237.) X-rays of her lumbar spine
revealed "[v]ery slight scoliosis," but were otherwise negative. (Id. at 239.) X-rays of her

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left shoulder were negative. (Id. at 240.) She was diagnosed with a rotator cuff injury,
lumbar pain/strain, and hypertension, and was discharged. (Id. at 238.)
In September, Plaintiff went to the emergency room at Barnes Jewish Hospital (BJH)
for complaints of back pain for the past five years that had been tolerable until two days
earlier. (Id. at 260-92.) She also had pain in her right heel that prevented her from putting
any weight on it. (Id. at 272.) And, the back pain radiated to her left hip. (Id. at 276.) She
could move all extremities well, but the range of motion in her back was limited by pain. (Id.
at 271, 277.) It was noted that her barriers to learning included language. (Id. at 272.)
Lumbar spine x-rays revealed narrowing of L5-S1 intervertebral disc with mild retrolisthesis.
(Id. at 265-70.) X-rays of her right foot and of pelvis showed no fractures or dislocations.
(Id.) Plaintiff's mobility increased with pain medication. (Id. at 277.) She was diagnosed
with low back pain and nausea. (Id. at 285.) The possibility of a magnetic resonance
imaging (MRI) to determine whether disc herniation or nerve impingement was the cause of
her pain was discussed, but Plaintiff and her husband declined and elected to go home. (Id.)
Plaintiff was to follow-up with an orthopedist. (Id.)

On discharge, she was given

prescriptions for tramadol, hydrocodone/acetaminophen, cyclobenzaprine, and prednisone.
(Id. at 279-80, 290-91.)
In October, Plaintiff consulted Laurain Hendricks, M.D., at Family Care for back
pain. (Id. at 242-43, 250-51, 255.) She described the pain as sporadically existing for five
years, but continuous for the past three to four months. (Id. at 242.) The pain radiated down
her legs to heels. (Id.) She also had bruising on her left leg down to her heel. (Id. at 243.)
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Her appearance was tired; her mood was unhappy and anxious; her affect was tearful; and
her grooming was normal. (Id.) Her balance, gait, stance, and reflexes were also normal.
(Id.) She was diagnosed with backache and major depression with paranoid features. (Id.)
She was prescribed Flexeril and ibuprofen. (Id.) Dr. Hendricks decided to refer Plaintiff to
a orthopedist and noted on the referral sheet that Plaintiff needed a Bosnian interpreter. (Id.
at 255.)
In March 2010, Plaintiff was seen by Beverly Field, Ph.D., at the Washington
University School of Medicine Division of Pain Management. (Id. at 294-95, 381-82.)
Plaintiff was accompanied to the visit by an interpreter. (Id. at 294.) Plaintiff explained she
had not had any physical therapy recently because of the lack of insurance. (Id. at 294.) Her
current pain medications included tramadol, hydrocodone, and cyclobenzaprine, which were
of "very limited benefit." (Id.) Her low back pain was sharp and shooting, and was
generally on the left and sometimes on the right. (Id.) The pain was alleviated a little by ice
packs and lying down and was aggravated by activity. (Id.) She reported that she spent
much of the day in bed. (Id.) She smoked one pack of cigarettes a day. (Id.) On
examination, "[p]ain behaviors were present." (Id.) She alternated sitting and standing
during the interview and, when sitting, shifted her weight to the side. (Id.) She had good eye
contact, a regular rate and rhythm to her speech, a logical and goal-directed thought process,
an occasionally tearful affect, and no delusions or hallucinations. (Id. at 295.) She reported
that she cried much of the time and did not want to be around people. (Id.) She had little
or no interest in things she formerly enjoyed. (Id.) She had been diagnosed with depression
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and prescribed Cymbalta. (Id.) Dr. Field diagnosed Plaintiff with major depression,
recurrent, and rated as having a Global Assessment of Functioning (GAF) of 63.3 (Id.) Dr.
Field recommended that her dosage of Cymbalta be increased to help with her mood. (Id.)
The next month, Plaintiff saw Jacob M. Buchowski, M.D., an orthopedist, for an
evaluation of her low back pain and left leg pain following a motor vehicle accident. (Id. at
299-313, 378-80.) Plaintiff completed an Adult Spine Supplement, marking that she had
back, arm, and leg pain. (Id. at 307.) She circled "maybe" for the question whether she
would consider surgery to treat her problem. (Id.) To relieve her pain, she had tried physical
therapy, narcotic medications, and had had two epidural injections. (Id.) Her symptoms
were about the same. (Id.) The pain was aggravated by standing and walking. (Id. at 310.)
She could not stand in one place or walk for longer than ten minutes without pain. (Id.) She
could not sit for longer than thirty minutes. (Id. at 311.) She spent most of her time in bed.
(Id.) She rated the pain as being a ten on a ten-point scale. (Id. at 299, 307.) Approximately
50 to 75 percent was in the low back and the remaining was in the leg radiating down to the
foot. (Id. at 299.) She also had diffuse neck pain and thoracic back pain, but was not
consulting him for these symptoms. (Id.) On examination, Plaintiff was alert, oriented, and

3

"According to the Diagnostic and Statistical Manual of Mental Disorders 32 (4th Ed. Text
Revision 2000) [DSM-IV-TR], the [GAF] is used to report 'the clinician's judgment of the individual's
overall level of functioning,'" Hudson v. Barnhart, 345 F.3d 661, 663 n.2 (8th Cir. 2003), and
consists of a number between zero and 100 to reflect that judgment, Hurd v. Astrue, 621 F.3d 734,
737 (8th Cir. 2010). A GAF score between 61 and 70 indicates "[s]ome mild symptoms (e.g.,
depressed mood and mild insomnia) OR some difficulty in social, occupational, or school functioning
(e.g., occasional truancy, or theft within the household), but generally functioning pretty well, has
some meaningful interpersonal relationships." DSM-IV-TR at 34 (emphasis omitted).
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in no acute distress. (Id. at 300.) She walked with a normal gait, could stand on her toes and
heels, and could stand on each leg independently. (Id.) She could squat down and rise back
up, "albeit with some difficulty." (Id.) Her lumbar flexibility was decreased on both flexion
and extension. (Id.) She had normal motor strength in her lower extremities. (Id.) Her
reflexes were normal and symmetric. (Id.) "Internal and external rotation of the hips as well
as flexion and extension of the knees [did] not exacerbate her pain." (Id.) Dr. Buchowski
reviewed the 2009 MRI results and the contemporaneous x-rays. (Id.) The x-rays revealed
mild L5-S1 degenerative disease and lumbar spine hypomobility with flexion and extension.
(Id. at 313.) He diagnosed Plaintiff with mechanical back pain and left lower extremity
radicular symptoms due to a left paracentral disc herniation at L5-S1 with compression of
the thecal sac and the traversing left S1 nerve root. (Id. at 300.) He discussed with Plaintiff
and her husband a left L5-S1 discectomy to help relieve her radicular symptoms. (Id.) She
was to consider the option. (Id.)
In September, Plaintiff was diagnosed by Dr. Zakroff with backache and major
depression with paranoid features. (Id. at 354-56.) Her dosage of Cymbalta was increased.
Dr. Zakroff encouraged Plaintiff to get up in the morning, get dressed, and do "one small
activity." (Id.) Plaintiff expressed concern about nonstop headaches that were becoming
worse during the past month. (Id.) She reported that she felt tired and had little energy. (Id.
at 355.) Her ability to concentrate was decreased. (Id.) She felt restless and had difficulties
sleeping four to five days a week. (Id.) On examination, she had a depressed and anxious
mood and an abnormal, tearful, and agitated affect. (Id.) Dr. Zakroff's assessment was of
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headache syndromes, depression, memory impairment, and anxiety disorder, not otherwise
specified. (Id.)
Plaintiff returned to Dr. Zakroff the next month for a follow-up of her hypertension
and for intermittent dyspnea. (Id. at 352-53.) On examination, Plaintiff had a normal heart
rate, rhythm, and sounds. (Id. at 353.) She was diagnosed with benign hypertension. (Id.)
In November, Plaintiff consulted Jaron Asher, M.D., reporting that she had been in
the Bosnian war when she was in her late teens and her husband's family had been "largely
killed." (Id. at 374.) She did not want therapy because talking about it made her feel worse.
(Id.) Citalopram had helped make her sleep, appetite, and mood better. (Id.)

On

examination, her affect was depressed, her insight and judgment were fair, and her thoughts
were goal-directed. (Id.) Her speech was translated. (Id.) He diagnosed her with PTSD
with prominent depression. (Id.) Her GAF was 49.4 (Id.) Dr. Asher increased the dosage
of citalopram was increased; Abilify was prescribed. (Id.)
Plaintiff saw Dr. Asher again in December. (Id. at 372-73.) Plaintiff reported she was
"a little better" since her medications had been changed, but was still very anxious and
depressed. (Id. at 372.) On examination, her speech – translated by a male – was soft and
monotonic. (Id.) Her eye contact was poor to fair; her affect was depressed; her thoughts
were goal-directed; her insight and judgment were fair. (Id.) Her diagnosis and GAF were

4

A GAF score between 41 and 50 is indicative of "[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)." DSM-IV-TR at 34 (emphasis omitted).
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the same. (Id.) Her prescription for citalopram was renewed; her prescription for Abilify
was increased; a prescription for clonazepam was added. (Id. at 373.)
When Dr. Asher again saw Plaintiff, in January 2011, he diagnosed her with
prolonged PTSD with prominent depression. (Id. at 370.) He prescribed clonazepam,
Abilify, and citalopram. (Id.) Plaintiff reported that the medications helped. (Id.) She felt
better, but still seemed depressed. (Id.) The citalopram dosage was increased. (Id.) On
examination, she had a less depressed affect, goal-directed thoughts, and fair insight and
judgment. (Id.) She had no suicidal ideation, "but sometimes wishes she were dead." (Id.)
Her speech, translated by another woman, was soft. (Id.)
In February, Plaintiff saw Dr. Zakroff for a follow-up of her depression and
hypertension. (Id. at 346-48.) Plaintiff reported having chest pain or discomfort that
radiated from her left hand to the left-side of her chest. (Id. at 346.) The pain had started
fifteen to twenty days ago and was aggravated by activity. (Id.) Dr. Zakroff noted that
Plaintiff smoked two packs of cigarettes a day. (Id.) On examination, Plaintiff had a normal
heart rate, rhythm, and sounds. (Id. at 347.) Dr. Zakroff diagnosed her with chest pain and
benign essential hypertension. (Id. at 348.) She referred Plaintiff to cardiology and placed
her on a diet. (Id.)
Later that same month, Plaintiff was seen by David Dobmeyer, M.D., at St. Anthony’s
Medical Center, for left arm pain for the past several months that radiated up her arm and
across her chest. (Id. at 364-68.) The pain "ha[d] some intermittent relationship to exertion."
(Id. at 367.) Plaintiff smoked approximately one pack of cigarettes a day. (Id.) She had
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hypertension and high cholesterol, which she described as being under control. (Id.) She
was to have a stress echocardiogram. (Id.) The stress echocardiogram was negative for
ischemia, but revealed hypertensive blood pressure in response to exercise. (Id. at 359-63.)
On March 7, Plaintiff returned to Dr. Asher. (Id. at 371.) She reported that she was
functioning better, was enjoying life more, and was more energetic. (Id.) She wanted to
continue on her current medications, but agreed to decrease the dosage of clonazepam after
being told it was meant to be a short-term medication. (Id.) Plaintiff reported that "when
her depression is better her memory is better, thus she no longer need[ed] a translator." (Id.)
On examination, her speech was within normal limits, her eye contact was good, her affect
was euthymic, and her thoughts were goal-directed. (Id.) Her diagnosis was unchanged.
(Id.) Her GAF was 56.5 (Id.)
Also before the ALJ were assessments of Plaintiff's mental and physical residual
functional capacities.
Devyani Hunt, M.D., wrote"To Whom It May Concern" in February 2010. (Id. at
254, 383.) After outlining Plaintiff's complaint of back problems since 2002 and the
December 2009 MRI results, Dr. Hunt wrote that, due to her problems, Plaintiff is unable
to work. (Id.) Specifically, she cannot sit or stand for longer than ten minutes, cannot lift
anything heavier than ten pounds, and cannot do repetitive bending, twisting, or lifting. (Id.)

5

A GAF score between 51 and 60 indicates "[m]oderate symptoms (e.g., flat affect and
circumstantial speech, occasional panic attacks) OR moderate difficulty in social, occupational, or
school functioning (e.g., few friends, conflicts with peers or co-workers)." DSM-IV-TR at 34
(emphasis omitted).
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In May 2010, a Psychiatric Review Technique form was completed by Aine Kresheck,
Ph.D. (Id. at 314-25.) Plaintiff was reported to have an affective disorder, specifically, a
depressive disorder evidenced by anhedonia, sleep disturbance, decreased energy, and
difficulty thinking or concentrating. (Id. at 314, 316.)

This disorder resulted in mild

restrictions in activities of daily living, mild difficulties in maintaining social functioning,
and moderate difficulties in maintaining concentration, persistence, or pace. (Id. at 322.)
It did not result in any repeated episodes of decompensation of extended duration. (Id.)
On a Mental Residual Functional Capacity Assessment form, Dr. Kresheck rated
Plaintiff as being moderately limited in one of the three abilities in the area of understanding
and memory, i.e., understanding and remembering detailed instructions, and not significantly
limited in the other two. (Id. at 35.) In the area of sustained concentration and persistence,
Plaintiff was moderately limited in two of the eight listed abilities, i.e., the ability to carry
out detailed instructions and the ability to maintain attention and concentration for extended
periods, and was not significantly limited in the other six. (Id. at 35-36.) She was not
significantly limited in any of the five listed abilities in the area of social interaction. (Id.
at 36.) Plaintiff was moderately limited in one of the four abilities in the area of adaptation,
i.e., her ability to respond appropriately to changes in the work setting, and was not
significantly limited in the other three abilities. (Id.)

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The same month, a Physical Residual Functional Capacity Assessment (PRFCA) of
Plaintiff was completed by Suzanne Page, single decision maker.6 (Id. at 326-31.) Plaintiff
had exertional limitations of being able to occasionally lift or carry twenty pounds,
frequently lift and carry ten pounds, and stand, walk, or sit about six hours in an eight-hour
workday. (Id. at 327.) Her ability to push and/or pull was otherwise limited. (Id.) She had
postural limitations of only occasionally stooping, kneeling, crouching, crawling, and
climbing ramps and stairs. (Id. at 328.) She should never climb ladders, ropes, and
scaffolds.

(Id.)

She had no manipulative, visual, communicative, or environmental

limitations. (Id. at 328-29.)
The ALJ's Decision
The ALJ first determined that Plaintiff met the insured status of the Act through June
30, 2009, and has not continuously engaged in substantial gainful activity since her alleged
onset date of April 1, 2003. (Id. at 45.) The ALJ next found that Plaintiff has severe
impairments of degenerative disc disease of the lumbar spine, obesity, and depression. (Id.
at 46.) She did not, however, have an impairment that met or medically equaled an
impairment of listing-level severity. (Id.)
Specifically addressing Plaintiff's mental impairment, the ALJ found that the
impairment resulted in mild restrictions in activities of daily living, mild difficulties in social

6

See 20 C.F.R. §§ 404.906, 416.1406 (defining role of single decision-maker under proposed
modifications to disability determination procedures). See also Shackleford v. Astrue, 2012 WL
918864, *3 n.3 (E.D. Mo. Mar. 19, 2012) ("Single decision-makers are disability examiners
authorized to adjudicate cases without mandatory concurrence by a physician.") (citation omitted).
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functioning, and moderate difficulties with regard to concentration, persistence, or pace. (Id.
at 47.) She had not had any episodes of decompensation of extended duration. (Id.)
The ALJ next found that Plaintiff has the residual functional capacity (RFC) to
perform light work with an additional restriction that, because of her mental impairment, it
be limited to unskilled jobs. (Id.) When assessing Plaintiff's RFC, the ALJ evaluated her
credibility, and found it lacking. (Id. at 48-49.) Weighing against Plaintiff's credibility were
the apparent inconsistency between her complaints of disabling disc herniation, depression,
and right arm injury and the paucity of medical care for such, e.g., the lack of complaints of
back pain from September 2010 to February 2011, "suggest[ing] that the herniation may have
resolved or never existed"; the inconsistency between her testimony that she "relie[d] upon
her husband to help her with 'everything'" and her testimony that, as a truck driver, he was
gone for days at a time; and the inconsistency between her alleged onset date of 2003 and
her continuing to work after then. (Id.) Also detracting from her credibility were (a) the
improvement in her psychological symptoms when she was taking her medications and her
failure to consistently do so, (b) her GAF scores, and (c) the lack of any statement by a
doctor treating her mental illness that she is unable to work or should not work. (Id. at 49.)
The ALJ concluded that with her RFC, Plaintiff could return to her past relevant work
as a dishwasher, housekeeper, sanitation worker/cleaner/ and factory worker. (Id. at 50-51.)
She was not, therefore, disabled within the meaning of the Act. (Id. at 51.)

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Additional Records Before the Appeals Council
With her request that the Appeals Council review the ALJ's adverse decision, Plaintiff
submitted additional information from Dr. Asher.
In August 2011, Dr. Asher wrote:
[Plaintiff] had told me in March and June that she was doing OK. I learned
today that she was suffering from much depression and anxiety at that time but
held back because of her (unsubstantiated) fears that I would commit her
involuntarily if I knew how poorly she was functioning. Today I learned that
[Plaintiff] is having daily panic attacks and that she cannot tolerate being
around more than two other people. . . . I am aware that she is entirely unable
to attend group therapy because her anxiety about being in a group paralyzed
her. I emphasized that individual therapy that focuses on the here and would
be the strategy that I recommend. . . . She has terrifying nightmares according
to her husband. This is all consistent with [PTSD]. Now that I am aware of
her worsening, I am increasing her medications and I plan to see her more
often.
(Id. at 375.)
In June 2012, Dr. Asher completed a Mental Residual Functional Capacity
Assessment Form. (Id. at 384-88.) In eight activities listed for the area of daily living, Dr.
Asher rated Plaintiff as being markedly limited in her abilities to cope with stress; behave in
an emotionally stable manner; relate in societal situations; and be reliable. (Id. at 384.) She
was moderately limited in her ability to care for herself and slightly limited in her abilities
to dress herself and meet personal needs; to function independently; and to maintain her
personal appearance. (Id.) In the area of social functioning, he assessed Plaintiff as being
markedly limited in the five of the six abilities he rated and slightly limited in the remaining
one: her ability to maintain socially acceptable behavior and to adhere to basic standards of

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cleanliness. (Id. at 385.) In the area of concentration, understanding, and memory, he
assessed Plaintiff as being markedly limited in ten of the eleven abilities listed and
moderately limited in one: the ability to understand and remember short and simple
instructions. (Id. at 386-87.) And, she had continual episodes of deterioration. (Id. at 387.)
Standards of Review
Under the Act, the Commissioner shall find a person disabled if the claimant is
"unable to engage in any substantial activity by reason of any medically determinable
physical or mental impairment," which must last for a continuous period of at least twelve
months or be expected to result in death. 42 U.S.C. §§ 423(d)(1), 1382c(a)(3)(A). Not only
the impairment, but the inability to work caused by the impairment must last, or be expected
to last, not less than twelve months. Barnhart v. Walton, 535 U.S. 212, 217-18 (2002).
Additionally, the impairment suffered must be "of such severity that [the claimant] is not
only unable to do [her] previous work, but cannot, considering [her] age, education, and
work experience, engage in any other kind of substantial gainful work which exists in the
national economy, regardless of whether . . . a specific job vacancy exists for [her], or
whether [s]he would be hired if [s]he applied for work." 42 U.S.C. §§ 423(d)(2)(A),
1382c(a)(3)(B).
"The Commissioner has established a five-step 'sequential evaluation process' for
determining whether an individual is disabled.'" Phillips v. Colvin, 721 F.3d 623, 625 (8th
Cir. 2013) (quoting Cuthrell v. Astrue, 702 F.3d 1114, 1116 (8th Cir. 2013) (citing 20 C.F.R.

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§§ 404.1520(a) and 416.920(a)). "Each step in the disability determination entails a separate
analysis and legal standard." Lacroix v. Barnhart, 465 F.3d 881, 888 n.3 (8th Cir. 2006).
First, the claimant cannot be presently engaged in "substantial gainful activity." See 20
C.F.R. §§ 404.1520(b), 416.920(b); Hurd v. Astrue, 621 F.3d 734, 738 (8th Cir. 2010).
Second, the claimant must have a severe impairment. See 20 C.F.R. §§ 404.1520(c),
416.920(c). A"severe impairment" is "any impairment or combination of impairments which
significantly limits [claimant's] physical or mental ability to do basic work activities . . . ."
Id.
At the third step in the sequential evaluation process, the ALJ must determine whether
the claimant has a severe impairment which meets or equals one of the impairments listed
in the regulations and whether such impairment meets the twelve-month durational
requirement. See 20 C.F.R. §§ 404.1520(d), 416.920(d) and Part 404, Subpart P, Appendix
1. If the claimant meets these requirements, she is presumed to be disabled and is entitled
to benefits. Bowen v. City of New York, 476 U.S. 467, 471 (1986); Warren v. Shalala,
29 F.3d 1287, 1290 (8th Cir. 1994).
"Prior to step four, the ALJ must assess the claimant's [RFC], which is the most a
claimant can do despite her limitations." Moore v. Astrue, 572 F.3d 520, 523 (8th Cir.
2009). "[A]n RFC determination must be based on a claimant's ability 'to perform the
requisite physical acts day in and day out, in the sometimes competitive and stressful
conditions in which real people work in the real world.'" McCoy v. Astrue, 648 F.3d 605,

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617 (8th Cir. 2011) (quoting Coleman v. Astrue, 498 F.3d 767, 770 (8th Cir. 2007)).
Moreover, "'a claimant's RFC [is] based on all relevant evidence, including the medical
records, observations of treating physicians and others, and an individual's own description
of his limitations.'" Moore, 572 F.3d at 523 (quoting Lacroix, 465 F.3d at 887); accord
Partee v. Astrue, 638 F.3d 860, 865 (8th Cir. 2011).
"'Before determining a claimant's RFC, the ALJ first must evaluate the claimant's
credibility.'" Wagner v. Astrue, 499 F.3d 842, 851 (8th Cir. 2007) (quoting Pearsall v.
Massanari, 274 F.3d 1211, 1217 (8th Cir. 2002)). This evaluation requires the ALJ consider
"'[1] the claimant's daily activities; [2] the duration, frequency and intensity of the pain; [3]
precipitating and aggravating factors; [4] dosage, effectiveness and side effects of
medication; [5] functional restrictions.'" Id. (quoting Polaski v. Heckler, 739 F.2d 1320,
1322 (8th Cir. 1984)). "'The credibility of a claimant's subjective testimony is primarily for
the ALJ to decide, not the courts.'" Id. (quoting Pearsall, 274 F.3d at 1218). After
considering the Polaski factors, the ALJ must make express credibility determinations and
set forth the inconsistencies in the record which caused the ALJ to reject the claimant's
complaints. Ford v. Astrue, 518 F.3d 979, 982 (8th Cir. 2008); Singh v. Apfel, 222 F.3d
448, 452 (8th Cir. 2000).
At step four, the ALJ determines whether claimant can return to her past relevant
work, "review[ing] [the claimant's] [RFC] and the physical and mental demands of the work
[claimant has] done in the past." 20 C.F.R. §§ 404.1520(e), 416.920(e). The burden at step

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four remains with the claimant to prove her RFC and establish she cannot return to her past
relevant work. Moore, 572 F.3d at 523; accord Dukes v. Barnhart, 436 F.3d 923, 928 (8th
Cir. 2006); Vandenboom v. Barnhart, 421 F.3d 745, 750 (8th Cir. 2005).
If the ALJ holds at step four of the process that a claimant cannot return to past
relevant work, the burden shifts at step five to the Commissioner to establish the claimant
maintains the RFC to perform a significant number of jobs within the national economy.
Pate-Fires v. Astrue, 564 F.3d 935, 942 (8th Cir. 2009); Banks v. Massanari, 258 F.3d
820, 824 (8th Cir. 2001).
If the claimant is prevented by her impairment from doing any other work, the ALJ
will find the claimant to be disabled.
The ALJ's decision whether a person is disabled under the standards set forth above
is conclusive upon this Court "'if it is supported by substantial evidence on the record as a
whole.'" Wiese v. Astrue, 552 F.3d 728, 730 (8th Cir. 2009) (quoting Finch v. Astrue, 547
F.3d 933, 935 (8th Cir. 2008)); accord Dunahoo v. Apfel, 241 F.3d 1033, 1037 (8th Cir.
2001). "'Substantial evidence is relevant evidence that a reasonable mind would accept as
adequate to support the Commissioner's conclusion.'" Partee, 638 F.3d at 863 (quoting Goff
v. Barnhart, 421 F.3d 785, 789 (8th Cir. 2005)). When reviewing the record to determine
whether the Commissioner's decision is supported by substantial evidence, however, the
Court must consider evidence that supports the decision and evidence that fairly detracts from
that decision. Moore, 623 F.3d at 602; Jones, 619 F.3d at 968; Finch, 547 F.3d at 935. The

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Court may not reverse that decision merely because substantial evidence would also support
an opposite conclusion, Dunahoo, 241 F.3d at 1037, or it might have "come to a different
conclusion," Wiese, 552 F.3d at 730. "'If after reviewing the record, the [C]ourt finds it is
possible to draw two inconsistent positions from the evidence and one of those positions
represents the ALJ's findings, the [C]ourt must affirm the ALJ's decision.'" Partee, 638 F.3d
at 863 (quoting Goff, 421 F.3d at 789).
Discussion
Plaintiff argues, inter alia, that the ALJ erred by not giving the proper amount of
weight to Dr. Asher's opinion. The Court agrees.
Dr. Asher is Plaintiff's treating psychiatrist. Dr. Zakroff is her treating physician, and
specializes in family medicine. Dr. Asher diagnosed Plaintiff with PTSD; Dr. Zakroff
diagnosed her with depression. Symptoms of PTSD include "markedly diminished interest
or participation in significant activities"; "feeling of detachment or estrangement from
others"; "difficulty falling or staying asleep"; "irritability or outbursts of anger"; "difficulty
concentrating"; and "hypervigilance." DSM-IV-TR at 468. The ALJ found Plaintiff has a
severe impairment of depression. "'Greater weight is generally given to the opinion of a
specialist about medical issues in the area of speciality, than to the opinion of a nonspecialist.'" Brown v. Astrue, 611 F.3d 941, 953 (8th Cir. 2010) (quoting Thomas v.
Barnhart, 130 Fed.Appx. 62, 64 (8th Cir. 2005)). Evidence submitted to the Appeals Council
by Dr. Asher relative to Plaintiff's PTSD contradicts two essential findings of the ALJ: (1)

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that Plaintiff's mental impairment improved with treatment and (2) that no doctor has
rendered an opinion suggesting she is disabled. Although new evidence submitted to the
Appeals Council is considered only to the extent it "relates to the period on or before the date
of the [ALJ's] hearing decision." 20 C.F.R. §§ 404.970(b), 416.1470(b), when that decision
is challenged in a § 405(g) action, the Court determines whether it is "supported by
substantial evidence on the record as a whole, including the new evidence," Davidson v.
Astrue, 501 F.3d 987, 990 (8th Cir. 2007). Given the new evidence of Dr. Asher's, the ALJ's
decision lacks substantial evidence on the record as a whole. The case shall be remanded for
further consideration of that evidence and, if necessary, a consultative psychological
evaluation.
On remand, the credibility of Plaintiff should also be reassessed. The ALJ found her
credibility lacking; however, the grounds for this conclusion are not supported by substantial
evidence on the record as a whole. First, noting that the husband is gone for days at a time,
the ALJ discounted her and her husband's report that he helped her with personal and
housekeeping chores. The ALJ did not consider the evidence in the record that her children
help her also. The ALJ cited a failure of Plaintiff to comply with her doctor's treatment plan.
The record cited simply reads, "No medication noncompliance," suggesting the opposite. The
ALJ also cited Plaintiff's refusal to attend group therapy; however, that refusal was explained
by Dr. Asher.

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When reassessing Plaintiff's credibility on remand, the question of whether a Bosnian
interpreter is needed should also be reconsidered. See Nguyen v. Apfel, 51 Fed.Appx. 760,
761 (9th Cir. 2002) (remanding case for ALJ to obtain assistance of translator when
reevaluating claimant's testimony). The ALJ found that one was not necessary, noting that
Plaintiff was referred to in two records as being fluent in English. A reading of the hearing
transcript contradicts that finding. Moreover, when Dr. Zakroff noted that Plaintiff spoke
fluent English, she also noted in that same record that Plaintiff sometimes forgot how to speak
or understand English. Another physician in the same practice, Dr. Hendricks, noted when
referring Plaintiff to an orthopedist nineteen months later that Plaintiff needed a Bosnian
interpreter. When being treated by Dr. Asher thirteen months after the referral, Plaintiff's
speech was translated. She had a translator present again the next month, December 2010,
and the month after, January 2011. Two months later, Plaintiff reported she did not need a
translator because "when her depression is better her memory is better." (R. at 371.) She did
not, as summarized by the ALJ at the hearing, state that she no longer needed a translator
because her memory was "just fine now that she's on medication." (R. at 13.)
Conclusion
For the foregoing reasons, the case shall be remanded for a reevaluation of Plaintiff's
PTSD and her credibility. Although the Court is aware that upon remand, the ALJ's decision
as to non-disability may not change after properly considering all evidence of record and

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undergoing the required analysis, see Pfitzer v. Apfel, 169 F.3d 566, 569 (8th Cir. 1999), the
determination is nevertheless one that the Commissioner must make in the first instance.
Therefore,
IT IS HEREBY ORDERED that the decision of the Commissioner is REVERSED
and this case is REMANDED for further proceedings as discussed above.
An appropriate Order of Remand shall accompany this Memorandum and Order.

/s/ Thomas C. Mummert, III
THOMAS C. MUMMERT, III
UNITED STATES MAGISTRATE JUDGE
Dated this 24th day of March, 2014.

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