Perry v. Colvin
Filing
25
DECISION AND ORDER denying 17 Plaintiff's Motion for Judgment on the Pleadings; granting 22 Commissioner's Motion for Judgment on the Pleadings. (Clerk to close case.) Signed by Hon. Michael A. Telesca on 11/28/17. (JMC)-CLERK TO FOLLOW UP-
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK
BARNEY BLAIR PERRY, JR.,
Plaintiff,
-vs-
No. 1:15-cv-00265-MAT
DECISION AND ORDER
NANCY A. BERRYHILL, Acting
Commissioner of Social Security,
Defendant.
I.
Introduction
Represented by counsel, Barney Blair Perry, Jr. (“Plaintiff”)
brings this action pursuant to Title II of the Social Security Act
(“the Act”), seeking review of the final decision of the Acting
Commissioner
of
Social
Security1
(“Defendant”
or
“the
Commissioner”) denying his application for disability insurance
benefits (“DIB”).
Presently before the Court are the parties’
competing
for
motions
judgment
on
the
pleadings
pursuant
Rule 12(c) of the Federal Rules of Civil Procedure.
reasons
set
forth
below,
Plaintiff’s
motion
is
to
For the
denied
and
Defendant’s motion is granted.
II.
Procedural History
On June 8, 2012, Plaintiff, a then-twenty-nine year old former
delivery truck driver and loader/unloader, filed for DIB, alleging
1
Nancy A. Berryhill replaced Carolyn W. Colvin as Acting Commissioner of
Social Security on January 23, 2017. The Clerk of the Court is instructed to
amend the caption of this case pursuant to Federal Rule of Civil Procedure 25(d)
to reflect the substitution of Acting Commissioner Berryhill as the defendant in
this matter.
disability beginning October 21, 2011 due to mental illness,
depression,
suicidal
paranoia,
ideations2
explosive
(T.
15,
64,
anger,
bipolar
168-73,
186).
disorder
and
Plaintiff’s
application was denied on September 12, 2012 (T. 99-106), and he
timely requested a hearing before an administrative law judge
(“ALJ”).
ALJ Robert T. Harvey held a hearing on October 8, 2013
(T. 40-72).
On November 7, 2013, the ALJ issued a decision
in which he found Plaintiff was not disabled as defined in the Act
(T. 12-30). On January 30, 2015, the Appeals Council denied review
leaving the ALJ’s decision as the final agency decision (T. 1-5).
This action followed.
The Court assumes the parties’ familiarity
with the facts of this case, which appear in the record, and will
not repeat them here.
III.
The ALJ’s Decision
Initially, the ALJ found that Plaintiff met the insured status
requirements of the Act through September 30, 2016 (T. 17).
At
step one of the five-step sequential evaluation, see 20 C.F.R.
§ 404.1520, the ALJ found that Plaintiff had not engaged in
substantial gainful activity since October 21, 2011 (Id.). At step
two, the ALJ found that Plaintiff had the severe impairment of
discogenic lumbar spine; lumbar radiculopathy; bipolar disorder;
2
In a previous application for DIB, an ALJ found that Plaintiff had not been
disabled from his alleged disability onset date of September 29, 2009, through
October 20, 2011, the date of the ALJ’s decision (T. 85-90). Plaintiff did not
appeal, so Plaintiff’s alleged disability onset date is the day after the
previous ALJ’s decision.
2
depression; anxiety; and drug and alcohol abuse, not material
(20 C.F.R. § 404.1520(c)) (Id.).
At step three, the ALJ found that
Plaintiff did not have an impairment or combination of impairments
that met or medically equaled the severity of a listed impairment
(T. 17-19).
Before proceeding to step four, the ALJ found that
Plaintiff retained the RFC to perform light work as defined in
20 C.F.R. § 404.1567(b), except that he cannot work in an area with
unprotected
heights
or
around
heavy,
moving,
or
dangerous
machinery.
Plaintiff was also limited to occasional bending,
climbing, stooping, squatting, kneeling, balancing or crawling; and
cannot climb ropes, ladders or scaffolds (T. 19).
Additionally,
the ALJ found that Plaintiff had occasional limitations in the
ability
to
(1)
understand,
remember
and
carry
out
detailed
instructions; (2) interact with the general public; (3) perform the
basic mental demands of unskilled work, including the ability to
understand, remember and carry out simple instructions; (4) respond
appropriately
to
supervision,
co-workers,
and
usual
work
situations; and (5) deal with changes in a routine work setting
(Id.).
At step four, the ALJ found that Plaintiff could not
perform any past relevant work (T. 24).
At step five, the ALJ
found considering Plaintiff’s age, education, work experience, and
RFC, that Plaintiff could perform other work in the national
economy that exists in significant numbers in such representative
occupations as small parts assembler, mail clerk and routing clerk
(T. 25).
Accordingly, the ALJ found that Plaintiff was not
3
disabled from October 21, 2011 through the date of his decision
(T. 26).
IV.
Scope of Review
A
district
court
may
set
aside
the
Commissioner’s
determination that a claimant is not disabled only if the factual
findings are not supported by “substantial evidence” or if the
decision is based on legal error.
42 U.S.C. § 405(g); see also
Green-Younger v. Barnhart, 335 F.3d 99, 105-06 (2d Cir. 2003).
“Substantial evidence means ‘such relevant evidence as a reasonable
mind might accept as adequate to support a conclusion.’”
Chater, 221 F.3d 126, 131 (2d Cir. 2000).
Shaw v.
“The deferential
standard of review for substantial evidence does not apply to the
Commissioner’s conclusions of law.”
Byam v. Barnhart, 336 F.3d
172, 179 (2d Cir. 2003) (citing Townley v. Heckler, 748 F.2d 109,
112 (2d Cir. 1984)).
V.
Discussion
Plaintiff makes the following arguments in support of his
motion for judgment on the pleadings: (1) the ALJ failed to
properly
evaluate
the
“other
source”
opinion
of
Plaintiff’s
treating mental health counselor; (2) the ALJ failed to properly
develop the record with respect to Plaintiff’s mental health; and
(3) the ALJ failed to find Plaintiff’s schizophrenia with paranoid
features to be a severe impairment.
Plaintiff does not challenge
any of the ALJ’s findings with respect to Plaintiff’s physical
limitations.
4
A.
Plaintiff’s RFC
1.
Other Opinion Evidence
Plaintiff argues that the Court should remand his case to the
ALJ because the ALJ committed legal error by ignoring and not
weighing
the
opinion
of
Plaintiff’s
Licensed
Mental
Health
Counselor (“LMHC”) Vondolyn Lane of Monsignor Carr Institute in
connection with the RFC assessment.
Plaintiff further argues that
this violated SSR 06-03p, 2006 WL 2329939 (S.S.A. 2006) (Id.). The
Commissioner contends that LMHC Lane was not Plaintiff’s treating
counselor and, even if she was, the balance of the medical record
contradicts her opinion.
Moreover, the Commissioner argues that
the ALJ’s RFC assessment was otherwise supported by substantial
evidence.
SSR 06–03p explains that opinions from “other sources” such as
a counselor are “important” and “should be evaluated on key issues
such as impairment severity and functional effects, along with the
other relevant evidence in the file.” SSR 06–03p, 2006 WL 2329939,
at *3.3
SSR 06–03p further directs ALJs to apply the same factors
used to evaluate acceptable medical sources in evaluating the
opinions of non-medical sources such as counselors. See Vishner v.
Colvin, No. 1:14-CV-00431 (MAT), 2017 WL 1433337, at *5 (W.D.N.Y.
3
SSR 06-03p was rescinded by Federal Register Notice Vol. 82, No. 57, page 15263,
effective March 27, 2017. The parties do not dispute that it applied during
Plaintiff’s 2013 hearing or ALJ Harvey’s decision of the same year.
5
Apr. 24, 2017) (citing Saxon v. Astrue, 781 F. Supp. 2d 92, 104
(N.D.N.Y. 2011)).
However,
even
if
an
ALJ
must
consider
relevant,
other
evidence, see 20 C.F.R. § 404.1545(a)(3), the ALJ is not obligated
to summarize every single piece of evidence in the administrative
transcript.
See, e.g., Barringer v. Comm’r of Soc. Sec., 358
F. Supp. 2d 67, 78-79 (N.D.N.Y. 2005) (“The ALJ was not required to
mention or discuss every single piece of evidence in the record.”
(citing Mongeur v. Heckler, 722 F.2d 1033, 1040 (2d Cir. 1983)).
Rather, where “the evidence of record permits [the court] to glean
the rationale of an ALJ’s decision, [the ALJ is not required to
explain] why he considered particular evidence unpersuasive or
insufficient to lead him to a conclusion of disability.”
Mongeur,
722 F.2d at 1040.
Here, the ALJ did not err by not specifically summarizing a
single 30-minute, walk-in appointment as part of the extensive 600page medical record in this case. At the June 4, 2012 appointment,
both LMHC Lane and Non-Physician Provider (“NPP”) Diane Page saw
Plaintiff for an individual counseling session (Id.).
They noted
that Plaintiff appeared cooperative; was oriented; spoke at a
normal rate,
rhythm,
and
volume;
was well-groomed;
was
in a
euthymic mood; had a congruent affect; had an organized and goaldirected thought process; had no perceptual distortions; had fair
insight and judgment; and had good impulse control (Id.).
6
They
also noted that Plaintiff was delusional and his psychosis and
paranoia were “increasing” (Id.).
However, neither LMHC Lane nor
NPP Page offered any explanation or rationale to support their
observations.
It is noteworthy that despite the size of the
record, this is the only session that Plaintiff cites as evidence
of LMHC Lane’s direct examination of Plaintiff (T. 358).
brief session does not evidence a treating relationship.
This
See
Patterson v. Astrue, 11–CV–1143, 2013 WL 638617, at *8 (N.D.N.Y.
Jan. 24, 2013) (“three examinations by [a physician] over the
course of four months . . . does not constitute the type of
‘ongoing relationship’ that is required for finding that s/he is
plaintiff’s treating physician under the relevant regulations”
(citing 20 C.F.R. § 404.1502)), report and recommendation adopted,
2013 WL 592123 (N.D.N.Y. Feb. 14, 2013).
NPP Page listed
Connie
James,
Moreover, in May 2010,
not LMHC Lane,
as
Plaintiff’s
therapist while completing an Initial Psychiatric Evaluation for
Plaintiff (T. 374).
Indeed, a vast majority of the Monsignor Carr
Institute treatment notes indicate that other counselors conducted
the nearly thirty evaluations of Plaintiff from April 17, 2010,
through May 6, 2013 (T. 358-78, 383-88, 603, 609, 614, 640-43).
Additionally, other evidence in the medical record shows,
consistent with Plaintiff’s own admission, that LMHC Lane’s role
was really more of a supervisory one.
On October 20, 2010, one
year before Plaintiff’s onset date, LMHC Lane, along with an
unidentified psychiatrist with an illegible signature, completed a
7
“Treatment Plan” form for Plaintiff’s problems of anxiety and
depression (T. 382).
Unlike Monsignor Carr Institute’s Progress
Notes, which include a date of visit, the Treatment Plan form does
not indicate any date that LMHC Lane examined or treated Plaintiff
as a part of formulating the Treatment Plan.
The form also
included a diagnosis of “generalized anxiety” and depression, but,
again, it was not clear that the diagnosis was based on an
examination.
On January 20, 2011, nine months before Plaintiff’s
onset date, LMHC Lane completed a similar Treatment Plan form for
Plaintiff, but this time the form listed Plaintiff as having a
diagnosis of schizophrenia and paranoia (T. 381).
Nevertheless,
it was not clear that the diagnosis was based on LMHC Lane’s
examination or the examination of other Monsignor Carr Institute
personnel.
LMHC Lane also wrote three letters on behalf of Monsignor Carr
Institute
and
its
personnel,
but
none
of
them
clarify
her
individual relationship to Plaintiff but instead appear to be
written to address Plaintiff’s relationship with Monsignor Carr
Institute
as
unidentified
a
whole.
recipient
For
dated
example,
October
7,
in
one
2011,
letter
just
to
an
prior
to
Plaintiff’s onset date, LMHC Lane explained that “we have diagnosed
[Plaintiff]” with schizophrenia and paranoia, and Plaintiff “sees
Monsignor
Carr
Nurse
Practitioner
(T. 843-45 (emphasis added)).
Diana
Page
for
medication”
LMHC Lane repeated this statement,
word for word, in letters dated November 17, 2011 and February 22,
8
2013, also to unidentified recipients (Id.).
On February 22, 2013
she also stated that “in MCI[‘s] opinion Mr. Perry is unable to
work
or
attend
any
(emphasis added)).
training
programs
at
this
time”
(T.
845
As Plaintiff recognizes in the Reply, such an
opinion receives no special significance because it is a conclusion
on the ultimate issue vested to the Commissioner.
See 20 C.F.R.
§ 404.1527 (statement that claimant is “unable to work” is an
opinion “on [an] issue[] reserved to the Commissioner”); Snell v.
Apfel,
177
F.3d
128,
133
(2d
Cir.
1999)
(citing
20
C.F.R.
§ 404.1527).
Finally, LMHC Lane’s opinion is not consistent with other
evidence, including other treatment notes from Monsignor Carr
Institute. Other treatment notes completed by NPP Page showed that
Plaintiff’s mental status was normal stating that Plaintiff had
cooperative behavior; was oriented; spoke at a normal rate, rhythm
and volume; had an intact memory; had good concentration; was in a
euthymic mood; had a congruent effect; was organized and had a
goal-directed thought process; had no perceptual distortions; had
fair
insight
(T. 359-73).
and
judgment;
and
had
good
impulse
control
Moreover, while LMHC Lane repeatedly stated that
Plaintiff was compliant with his medication (T. 843, 844, 855), NPP
Page cited numerous instances where Plaintiff was not compliant
with taking his medication as directed (T. 360, 361, 367, 371,
603).
One such comment by NPP Page, on August 22, 2011 (T. 361)
was only two months before LMHC Lane’s October 2011 statement that
9
Plaintiff was compliant with his medications (T. 844).
Therefore,
the ALJ did not err by not specifically summarizing LMHC Lane’s
treatment of Plaintiff while formulating the RFC. See Mongeur, 722
F.2d at 1040.
2.
Failure to Develop the Record
Plaintiff also argues that the ALJ’s RFC finding is not
supported by substantial evidence because the ALJ failed to develop
the record.
Specifically, Plaintiff contends that the ALJ left a
gap in the record by according only some or little weight to the
opinions of consulting physician Susan Santarpia, Ph.D. (T. 22),
State Agency review psychologist Dr. Juan Echevarria (Id.) and
State Agency review psychologist Dr. Brady Dalton (T. 23).
On August 14, 2012, Dr. Santarpia conducted a psychiatric
examination per the request of the Social Security Administration
(T. 488-91). Plaintiff reported he was currently taking medications
for his mental illness, stating that they stabilized his suicidal
thoughts (T. 488). He further reported no anxiety-related symptoms
or manic episodes (T. 488-89).
Plaintiff was talkative throughout
the examination, but with pressured speech and some distractibility
and flight of ideas (T. 489).
Plaintiff had appropriate eye
contact and coherent thought process during the examination (Id.).
Dr. Santarpia noted that Plaintiff’s attention and concentration
were
mildly
impaired,
but
she
suspected
malingering
(Id.).
Dr. Santarpia opined the following mental abilities: able to follow
and understand simple directions and instructions; perform simple
10
tasks independently; maintain attention and concentration; maintain
a regular schedule; learn new tasks; make appropriate decisions;
and appropriately deal with stress within normal limits (T. 490).
Additionally, Plaintiff had a mild impairment in performing complex
tasks independently and relating adequately with others (Id.).
Plaintiff also had difficulties caused by distractibility (Id.).
Dr. Santarpia noted that Plaintiff’s psychiatric impairments did
not appear to be significant enough to interfere with his ability
to function on a daily basis (T. 491).
Plaintiff
with
bipolar
disorder;
Dr. Santarpia diagnosed
alcohol
dependence/abuse,
sustained; and cannabis dependence/abuse, sustained (Id.).
On
September
10,
2012,
State
Agency
psychologist
Dr. Echevarria reviewed Plaintiff’s medical records and concluded
that Plaintiff had an affective (bipolar) disorder and a substance
abuse disorder, but that these impairments were non-severe (T. 503,
506, 515).
On November 27, 2012, State Agency psychologist Dr. Dalton
reviewed Plaintiff’s records and agreed with Dr. Echevarria’s
assessment that Plaintiff’s psychiatric impairments were non-severe
(T. 518).
Dr. Dalton also addressed Plaintiff’s credibility,
noting possible malingering during a mental status evaluation and
noting
Plaintiff’s
recent
use
of
illicit
substances
contradicted his denial of such use since 2008 (T. 518).
11
directly
Plaintiff’s contention that the ALJ rejected the opinions of
doctors Santarpia, Echeverria and Dalton is not supported by the
decision.
Indeed, the ALJ reviewed and weighed each of the
opinions in turn.
He gave “some weight” to Dr. Santarpia’s
findings, but not to the prognosis “as guarded” because it was
inconsistent with Dr. Santarpia’s examination findings (T. 22).
The ALJ accorded little weight to Dr. Echevarria’s findings because
they were not supported by the treatment notes of Monsignor Carr
Institute or Dr. Santarpia’s findings (T. 22).
Specifically, the
ALJ noted that contrary to Dr. Echevarria’s findings, Plaintiff had
a difficult time socially, with both family and friends, and, as he
explained
to
Dr.
Santarpia,
he
was
taking
stabilized his suicidal thoughts (T. 22).
medication
that
Thus, although the ALJ
assigned no weight to Dr. Echevarria’s opinion, this was because he
credited Dr. Santarpia’s opinion as to Plaintiff’s ability to be
around others and his use of medication.
The ALJ next gave “some,
but not great weight” to Dr. Dalton’s decision, explaining that
Dr. Dalton found Plaintiff’s condition non-severe and somewhat
stable, but found Plaintiff not credible because of his illicit
drug use (T. 23).
Notably, Plaintiff offers no other gaps in the medical record.
In fact, Plaintiff’s medical record is quite extensive containing
sufficient
medical
evidence
of
routine
treatment,
including
evaluations and opinions from several physicians, mental health
counselors, and state agency medical experts.
12
Where, as here,
“there are no obvious gaps in the administrative record, and where
the ALJ already possesses a complete medical history, the ALJ is
under no obligation to seek additional information in advance of
rejecting a benefits claim.”
Rosa v. Callahan, 168 F.3d 72, 79 n.5
(2d Cir. 1999); see also Perez v. Chater, 77 F.3d 41, 48 (2d Cir.
1996) (ALJ need not obtain information from treating physician
where ALJ already had a complete medical history and evidence
received
from
treating
physicians
was
adequate
to
determine
disability).
Moreover, the ALJ’s RFC assessment is consistent with the
opinions of doctors Santarpia and Dalton concerning Plaintiff’s
mental abilities which negates any impression that their opinions
were rejected.
See, e.g., Pellam v. Astrue, 508 F. App’x 87, 90
(2d Cir. 2013) (concluding that although ALJ formally rejected
consulting examiner’s opinion because he only saw plaintiff once
and findings were “inconsistent with nearly contemporaneous medical
records,” ALJ’s RFC was nevertheless consistent in “all relevant
ways” with consulting examiner’s opinion); see also, e.g., Crawford
v. Astrue, No. 13-CV-6068P, 2014 WL 4829544, at *20 (W.D.N.Y.
Sept. 29, 2014) (citing Pellam).
For example, Dr. Santarpia found
that Plaintiff was able to follow and understand simple directions
and instructions; perform simple tasks independently; maintain a
regular schedule; and appropriately deal with stress within normal
limits (T. 490). He also found that Plaintiff had a mild impairment
in performing complex tasks independently, relating adequately with
13
others and was distractable (Id.).
The fact that the ALJ’s RFC
assessment did not perfectly match their opinions is not grounds
for remand because the ALJ’s role is to weight all the evidence and
ensure that the entire medical record supported his RFC finding.
See Matta v. Astrue, 508 F. App’x. 53, 56 (2d Cir. 2013) (“Although
the ALJ’s conclusion may not perfectly correspond with any of the
opinions of medical sources cited in his decision, he was entitled
to weigh all of the evidence available to make an RFC finding that
was consistent with the record as a whole.” (citing Richardson v.
Perales, 402 U.S. 389, 399 (1971))).
Furthermore, Plaintiff’s argument that the ALJ should have
requested a medical opinion from a treating source depends on the
assumption that a treating source from Monsignor Carr Institute
would have found more restrictive limitations than those found by
doctors Santarpia, Echevarria and Dalton.
To the contrary, the
opinions of doctors Santarpia, Echevarria and Dalton were also
consistent with the findings of personnel that treated Plaintiff at
Monsignor Carr Institute, which the ALJ referenced in support of
his
decision.
Specifically,
NPP
Page
completed
an
Initial
Psychiatric Evaluation for Plaintiff in May 2010 which found, among
other
things,
that
Plaintiff
had
difficulty
socializing,
was
untrusting of others, had a difficult time in high school and
currently had limited contact with his family who mistreated him as
a child (T. 21, 376).
Given the similarities between the Initial
Psychiatric Evaluation and the opinions of doctors Santarpia,
14
Echevarria and Dalton, it is “doubtful that a medical source
statement from [a treating source at Monsignor Carr Institute]
would have altered the ALJ’s assessment of Plaintiff’s RFC.” Hogan
v. Colvin, No. 12-CV-1093, 2015 WL 667906, at *6 (W.D.N.Y. Feb. 17,
2015).
Accordingly, based on the medical record, remand is not
required based
on
the
ALJ’s
failure to
fully
credit
doctors
Santarpia, Echevarria and Dalton or because of his alleged failure
to request a medical source statement from one of Plaintiff’s
treating physicians.
Id.
Instead, the record as a whole was
“adequate to permit an informed finding by the ALJ.”
Tankisi v.
Comm’r of Soc. Sec., 521 F. App’x. 29, 34 (2d Cir. 2013).
B.
Failure to Find Schizophrenia to be a Severe Impairment
at Step Two
Plaintiff
also
argues
that
the
ALJ
failed
to
include
schizophrenia (with paranoid features) as a severe impairment
despite “strong evidence” that Plaintiff suffered from the mental
condition.
A
medically
determinable
impairment
is
an
“anatomical,
physiological, or psychological abnormalities that can be shown by
medically
techniques.”
acceptable
clinical
and
20 C.F.R. § 404.1521.
laboratory
diagnostic
An impairment is not severe if
it does not significantly limit your physical or mental ability to
do basic work activities.
85–28,
1985
WL
‘significantly
See, e.g., 20 C.F.R. § 404.1522(a); SSR
56856,
at
*3–4
limits’
is
not
15
(S.S.A.
1985).
synonymous
with
“The
phrase
‘disability.’
Rather, it serves to ‘screen out de minimis claims.’”
Showers v.
Colvin, No. 3:13-CV-1147(GLS), 2015 WL 1383819, at *4 (N.D.N.Y.
Mar. 25, 2015) (quoting Dixon v. Shalala, 54 F.3d 1019, 1030
(2d Cir. 1995)).
Basic work activities include, for example, the
ability to understand, carry out, and remember simple instructions;
respond appropriately to supervision, co-workers, and usual work
situations; and deal with changes in a routine work setting.
§ 404.1522(b).
be
made
if
Consequently, “[a] finding of ‘not severe’ should
the
medical
evidence
establishes
only
a
‘slight
abnormality’ . . . [with] . . . ‘no more than a minimal effect on
an individual’s ability to work.’”
Rosario v. Apfel, No. 97 CV
5759, 1999 WL 294727, at *5 (E.D.N.Y. Mar. 19, 1999) (quoting Bowen
v. Yuckert, 482 U.S. 137, 154, n.12 (1987)).
Here, the ALJ did not err by finding that Plaintiff’s alleged
schizophrenia was not a medically determinable impairment (T. 17).
Indeed, there are only sporadic references to schizophrenia in the
record and no diagnosis of schizophrenia included any related
nonexertional limitations.
For example, the majority of Monsignor
Carr Institute treatment notes diagnosed anxiety (T. 382, 396,
643), depression
(T.
379,
382,
393,
641),
gave
no
diagnosis
(T. 359, 365, 368, 370, 371) or otherwise ambiguously characterized
Plaintiff’s diagnosis as “no change” (T. 363, 366, 367, 369, 372,
373).
Notably, the ALJ diagnosed both anxiety and depression as
severe impairments (T. 17).
Page
did
diagnose
It is true that on May 3, 2010, NPP
Plaintiff
with
16
bipolar
disorder
versus
schizoaffective disorder (T. 377).
Yet, LMHC Lane’s most recent
“treatment plan” for Plaintiff, on October 21, 2012, included a
diagnosis of anxiety and depression — not schizophrenia (T. 382).
Other records also support the ALJ’s finding.
2012,
Plaintiff
admitted
himself
for
in-patient
On July 31,
treatment
at
Buffalo General Hospital, for suicide ideation and hallucinations
(T. 591-96).
The treating physician diagnosed him with bipolar
disorder and personality disorder — not schizophrenia (T. 596). At
discharge on August 6, Plaintiff’s diagnosis was limited to bipolar
disorder (T. 837).
Moreover,
Dr.
Santarpia
considered
Plaintiff’s
diagnosis
history of depression, anxiety, schizophrenia and bipolar disorder
(T. 488), but limited her diagnosis to bipolar disorder after
performing a mental examination (T. 491).
Additionally, Plaintiff
never raised schizophrenia as an issue at the hearing.
Instead,
Plaintiff stated that he suffered from bipolar disorder, anxiety
and depression and his attorney only questioned him about his
substance abuse, mood disorder, depression and anxiety (T. 45, 5862).
Plaintiff cites several other isolated facts in the record in
support of his contention that the ALJ erred by not finding
schizophrenia
a
severe
impairment.
Plaintiff
contends
that
treating psychiatrist Dr. Jeffrey Kashin diagnosed Plaintiff upon
admission on April 21, 2010 with schizophrenia, paranoid, chronic
17
and
then
reiterated
that
diagnosis
on
September
16,
2010.
According to Plaintiff, if the ALJ had considered Dr. Kashin’s
diagnosis he might have concluded that he was disabled.
misstates the record.
records
in
support
Plaintiff
Plaintiff cites Monsignor Carr Institute
of
his
diagnosis (T. 383. 388).
arguments
regarding
Dr.
Kashin’s
However, Dr. Kashin was employed by
Kaleida Health not Monsignor Carr Institute, and nothing in the
cited Monsignor Carr Institute notes suggest that Dr. Kashin signed
any Monsignor Carr Institute documents.
Each of the referenced
Monsignor Carr Institute reports include a signature, but it is
illegible and the signator is not otherwise identified on the
document.
Plaintiff further argues that the ALJ erred by only limiting
Plaintiff in social interaction with the general public, arguing
that the ALJ should have also limited Plaintiff from dealing with
co-workers and supervisors.
treatment
notes
However, the Monsignor Carr Institute
consistently
recorded
that
Plaintiff
was
cooperative, with a euthymic mood and congruent effect — indicating
the ability to respond appropriately in a normal work setting
(T. 359-73).
The ALJ also noted that Plaintiff’s own statements
acknowledged that he engaged in socializing with friends and
family, and was twice hospitalized for injuries from playing
football — an activity requiring interaction, cooperation and team
work (T. 347, 407, 465).
These incidents suggest that Plaintiff
was not as limited socially as he alleged.
18
Plaintiff also claims that his schizophrenia was severe based
on his April 21, 2010 statement that “voices tell him to take all
of his pills at once” (T. 386).
However, Plaintiff worked with his
alleged schizophrenia at the substantial gainful activity level
until July 2011, when he either was fired or quit work due to a
back injury (T. 182, 206, 362).
The fact that he worked with this
impairment contradicts Plaintiff’s claim.
In fact, as the record
reveals, most of his mental evaluations after he stopped working
indicate that Plaintiff suffered from depression and anxiety, and
not schizophrenia.
Thus, Plaintiff does not demonstrate that his
schizophrenia prevented him from working.
Finally, Plaintiff argues that a different ALJ, based on a
previous application for benefits, found that Plaintiff had severe
schizophrenia. However, that ALJ decided that case on October 20,
2011 – the day before Plaintiff’s alleged onset date - and found
Plaintiff was not disabled even without the benefit which the ALJ
had here of three prior examining opinions as to Plaintiff’s mental
health and limitations (T. 86, 90-91).
Ultimately, even if the ALJ erred at Step 2 by failing to find
Plaintiff had schizophrenia, the record contains no nonexertional
limitations in connection with Plaintiff’s alleged schizophrenia,
and nothing in the record suggests that any such limitations would
go beyond the nonexertional limitations set forth by the ALJ for
Plaintiff’s anxiety and depression, which are supported by the
medical record.
Thus, any alleged error in failing to find
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schizophrenia was a severe impairment would be harmless.
See
Zabala v. Astrue, 595 F.3d 402, 409 (2d Cir. 2010) (holding where
application of correct legal principles to record could lead only
to same conclusion, no need to require agency consideration).
In
sum, and for the reasons set forth above, Plaintiff has not shown
that the ALJ erred by failing to find that he had the severe
impairment of schizophrenia.
The ALJ’s decision finding Plaintiff
not disabled is supported by substantial evidence in the record.
VI.
Conclusion
For the foregoing reasons, Plaintiff’s motion for judgment on
the pleadings (Docket No. 17) is denied. The Commissioner’s motion
for judgment on the pleadings (Docket No. 22) is granted.
Clerk of the Court is directed to close this case.
ALL OF THE ABOVE IS SO ORDERED.
S/Michael A. Telesca
HON. MICHAEL A. TELESCA
United States District Judge
Dated:
November 28, 2017
Rochester, New York.
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The
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