Brown v. Astrue
ORDER affirming ALJ. Signed on 7/12/12 by District Judge Greg Kays. (Francis, Alexandra)
IN THE UNITED STATES DISTRICT COURT FOR THE
WESTERN DISTRICT OF MISSOURI
GEORGE W. BROWN,
MICHAEL J. ASTRUE,
Commissioner of Social Security,
ORDER AFFIRMING ALJ
Plaintiff George Brown seeks judicial review of the Commissioner’s denial of his
application for disability insurance benefits under Title II of the Social Security Act (“the Act”),
42. U.S.C. § 401, et seq., and his application for supplemental security income (“SSI”) benefits
under Title XVI of the Act, 42 U.S.C. §§ 1381, et seq. Plaintiff has exhausted all administrative
remedies, and judicial review is now appropriate under 42 U.S.C. § 405(g) and 42 U.S.C. §
Brown alleges he became disabled as of July 13, 2006 due to a back impairment, and is
therefore unable to engage in substantial gainful employment as a matter of law.
independent review of the record, carefully considering the arguments set forth by the parties, the
Court finds the Commissioner’s decision denying disability and SSI benefits is supported by
substantial evidence on the record as a whole. The Commissioner’s decision is AFFIRMED.
Procedural and Factual Background
The complete facts and arguments are presented in the parties’ briefs and are repeated
here only to the extent necessary.
Standard of Review
A federal court’s review of the Commissioner of Social Security’s decision to deny
disability benefits is limited to determining whether the Commissioner’s findings are consistent
with the Social Security Act, the relevant case law, and the regulations, and whether they are
supported by substantial evidence on the record as a whole. 42 U.S.C. § 405(g); McKinney v.
Apfel, 228 F.3d 860, 863 (8th Cir. 2000). Substantial evidence is less than a preponderance, but
it is “enough that a reasonable mind would find it adequate to support the ALJ’s decision.” Id.
In making this determination, the court considers evidence that detracts from the
Commissioner’s decision as well as evidence that supports it. Id. If substantial evidence in the
record supports the Commissioner’s decision, the court may not reverse because substantial
evidence in the records supports a contrary result or because the court may have decided the case
To establish entitlement to benefits, Plaintiff must show that he is unable to engage in any
substantial gainful activity by reason of a medically determinable impairment that has lasted or
can be expected to last for a continuous period of no less than 12 months. 42 U.S.C. §§ 423(d)
and 1382(a)(3)(A). To determine a claimant’s eligibility for SSI, the Commissioner employs a
five-step evaluation process.1 See 20 C.F.R. §§ 404.1520(a) and 416.920(a).
There is a five-step process for determining eligibility. If the fact-finder determines at any step of the evaluation
process that the claimant is or is not disabled, the inquiry does not continue. The applicant bears the burden of
showing he is disabled from steps one through four of the process. King v. Astrue, 564 F.3d 978, 979 n.2 (8th Cir.
2009). At step five, the burden shifts to the Commissioner to show that there are other jobs in the economy that the
claimant can perform. Id. The steps proceed as follows: First, the Commissioner determines if the applicant is
currently engaged in substantial gainful activity. If so, the applicant is not disabled; if not, the inquiry continues. At
step two, the Commissioner determines if the applicant has a “severe medically determinable physical or mental
impairment” or a combination of impairments that has lasted or is expected to last for a continuous 12-month period.
If not, the applicant is not disabled; if so, the inquiry continues. At step three, the Commissioner considers whether
the impairment or combination of impairments meets the criteria of any impairment listed in Appendix 1 of 20
C.F.R. § 404.1520. If so, the applicant is considered disabled; if not, the inquiry continues. At step four, the
In the instant case, the administrative law judge (“ALJ”) found that despite Plaintiff’s
impairments, Plaintiff was not disabled. Plaintiff, however, argues: (1) the ALJ erred by failing
to afford appropriate weight to the opinion of Plaintiff’s treating psychiatrist; (2) the ALJ
improperly assessed his residual functional capacity (“RFC”); and (3) the ALJ erred in assessing
Plaintiff’s credibility in accordance with the Polaski factors.
A. The ALJ did not err in evaluating the opinion of Plaintiff’s treating psychiatrist.
Plaintiff argues that the ALJ erred in failing to give controlling weight to the opinion of
Plaintiff’s treating psychiatrist, Dr. Mohammad Rasheed, who found that Plaintiff had marked
and moderate cognitive limitations and severe impairments of bipolar disorder, anxiety disorder,
suicidal ideation, and auditory hallucinations and who concluded that Plaintiff is “not
psychiatrically capable of having a gainful employment.” R. at 364. In particular, Plaintiff
argues that the ALJ failed to cite any medical evidence that would rebut Dr. Rasheed’s treatment
records or diagnoses. The Court finds that the ALJ afforded proper weight to Dr. Rasheed’s
opinion and cited relevant and reasonable reasons for doing so.
Under the Social Security Administration regulations, the opinions of treating physicians
are generally entitled to substantial weight. 20 C.F.R. § 416.927(d). Even though a treating
physician’s opinion is entitled to substantial weight, the opinion itself “does not automatically
control or obviate the need to evaluate the record as a whole.” Brown v. Barnhart, 390 F.3d 535,
540 (8th Cir. 2004). An ALJ may discount or disregard the opinion of a treating physician where
other medical assessments are more thoroughly supported or where a treating physician renders
inconsistent opinions. Wildman v. Astrue, 596 F.3d 959, 964 (8th Cir. 2010).
Commissioner considers if the applicant’s residual functional capacity allows the applicant to perform past relevant
work. If so, the applicant is not disabled; if not, the inquiry continues. At step five, the Commissioner considers
whether, in light of the applicant’s residual functional capacity, age, education and work experience, the applicant
can perform any other kind of work. 20 C.F.R. § 404.1520(a)(4)(i)-(v) (2009); King, 564 F.3d at 979 n.2.
Dr. Rasheed’s opinion regarding Plaintiff’s limitations was properly discounted by the
ALJ because it was not supported by his own medical reports. See Haggard v. Apfel, 175 F.3d
591, 595 (8th Cir. 1999) (finding that a “treating physician’s opinion is afforded less deference
when the medical evidence in the record as a whole contradicts the opinion itself”). Rather, it
was based on Plaintiff’s subjective complaints of pain, which had already been questioned by
two other physicians. R. at 20, 136, 158. Moreover, Dr. Rasheed’s opinion was discredited by
other evidence of record. For example, when Plaintiff first alleged disability, he indicated in his
disability report that his back condition was his only disabling impairment. R. at 90. The record
does not contain evidence that his condition changed or that his mental capacities deteriorated
such that he could later claim mental impairments as disabling conditions. Finally, the ALJ
properly took note of the fact that Dr. Rasheed examined Plaintiff on only a few occasions.
Because the Eighth Circuit has found that the longer a treating source has treated a patient, the
more weight the ALJ should give to the source’s medical opinion, the ALJ properly discounted
Dr. Rasheed’s opinion. See Randolph v. Barnhart, 386 F.3d 835, 840 (8th Cir. 2004).
B. The ALJ properly assessed Plaintiff’s credibility and accurately formulated his
Next Plaintiff asserts that the ALJ’s RFC finding is not supported by medical evidence
and that the ALJ failed to fully develop the record to “obtain sufficient medical evidence to
support a valid [RFC] assessment” (Doc. 11). The ALJ found that Plaintiff had the RFC “to
perform light work as defined in 20 CFR 404.1567(b) and 416.967(b) except he is limited to
repetitive tasks and incidental contact with the public.”
determination supported by substantial evidence of record.
R. at 14. The Court finds this
An ALJ must base his RFC determination on all evidence of record.
Massanari, 274 F.3d 1211, 1217-18 (8th Cir. 2001) (citing Anderson v. Shalala, 51 F.3d 777,
779 (8th Cir. 1995). Although an RFC is a medical determination, in making this determination
the ALJ must rely not only on medical evidence but on all relevant, credible evidence.
McKinney v. Apfel, 228 F.3d 860, 863 (8th Cir. 2000).
Here, the medical evidence supports the ALJ’s determination. For example, the objective
medical evidence does not support Plaintiff’s complaints of chronic pain. In January 2007, xrays of Plaintiff’s ribs were negative. R. at 116. Thoracic spine x-rays obtained at that time were
also primarily negative with the exception of moderate anterior wedging of the T8 vertebral
body. R. at 117. Lumbar spine x-rays were similarly unremarkable, with no evidence of
listhesis, compression fracture, or abnormality.
R. at 288.
A December 2008 magnetic
resonance imaging (“MRI”) scan of Plaintiff’s thoracic spine was also unremarkable. R. at 244.
The opinions of Dr. Bailey also support the ALJ’s RFC finding. Dr. Bailey, for example,
who examined Plaintiff on one occasion when his primary physician, Dr. Methven, was absent,
noted that he did not want to give Plaintiff pain medication “over and above” what Dr. Methven
prescribed because he was “a little suspicious” that Plaintiff’s pain symptoms were as serious as
he claimed. R. at 158. Additionally, Dr. Bailey’s extensive neurological examination revealed
no issues with wasting or muscular atrophy. R. at 158. In fact, Dr. Bailey noted that Plaintiff
had “no wasting,” was “fairly muscular,” had normal reflexes, and had no “asymmetric losses of
sensation.” Id. Finally, even Plaintiff’s treating physician, Dr. Methven, whose opinion Plaintiff
advocates the ALJ should have afforded more weight, noted in May 2008 that Plaintiff’s back
pain was well-controlled with current pain medication. R. at 167. See Brace v. Astrue, 578 F.3d
882, 885 (8th Cir. 2009) (finding that if an impairment can be controlled with medication, it is
not considered disabling).
The ALJ also properly considered Plaintiff’s work history and daily living activities in
formulating his RFC. Prior to his application for disability, Plaintiff worked only sporadically,
leading the ALJ to question whether Plaintiff’s unemployment was actually due to medical
impairments. See Pearsall, 274 F.3d at 1218 (finding that “[a] lack of work history may indicate
a lack of motivation to work rather than a lack of ability”). The ALJ then considered Plaintiff’s
daily living activities, finding that Plaintiff’s restrictions appeared to be self-imposed rather than
necessary as a result of disability. R. at 20.
Plaintiff also asserts that the ALJ did not properly evaluate his credibility, failing to
consider the factors set forth in the Social Security regulations and Polaski v. Heckler. 739 F.2d
1320 (8th Cir. 1984). The ALJ’s credibility finding must be affirmed if it is supported by
substantial evidence on the record as a whole. When assessing a claimant’s credibility, “the ALJ
must look to the claimant’s daily activities; the duration, frequency, and intensity of pain;
precipitating and aggravating factors; dosage, effectiveness, and side effects of medication; and
functional restrictions.” Finch v. Astrue, 547 F.3d 933, 935 (8th Cir. 2008) (citing Polaski, 739
F.2d at 1322). Credibility determinations are generally the province of the ALJ, and courts will
defer to an ALJ’s explicit credibility determination when it is supported by “a good reason.”
Finch, 547 F.3d at 935.
In discounting Plaintiff’s credibility, the ALJ relied on the same inconsistencies between
Plaintiff’s assertions and the substantial evidence of record—including the objective medical
evidence, daily living activities, and work history—that he relied on in making his RFC
determination. Overall, the ALJ properly considered the evidence in the record to determine that
Plaintiff’s allegations of disabling pain were not credible. Accordingly, the Court upholds the
ALJ’s determination of Plaintiff’s RFC, finding that the ALJ’s determination was based on
substantial evidence of record and properly included only Plaintiff’s credible limitations. See
Wildman v. Astrue, 596 F.3d 959, 966 (8th Cir. 2010).
After careful examination of the record as a whole, the Court finds the Commissioner’s
determination is supported by substantial evidence on the record.
Commissioner’s decision is AFFIRMED.
IT IS SO ORDERED.
Date: July 12, 2012
/s/ Greg Kays
GREG KAYS, JUDGE
UNITED STATES DISTRICT COURT
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