Thurman v. Colvin
Filing
17
DECISION AND ORDER denying 12 Plaintiff's Motion for Judgment on the Pleadings; granting 13 Commissioner's Motion for Judgment on the Pleadings. (Clerk to close case.) Signed by Hon. Michael A. Telesca on 5/18/17. (JMC)-CLERK TO FOLLOW UP-
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK
CALVIN THURMAN,
No. 6:16-cv-06082(MAT)
DECISION AND ORDER
Plaintiff,
-vsNANCY A. BERRYHILL, Acting
Commissioner of Social Security,
Defendant.
INTRODUCTION
Represented
by
counsel,
Calvin
Thurman
(“Plaintiff”)
instituted this action pursuant to Titles II and XVI of the Social
Security Act (“the Act”), seeking review of the final decision of
the Acting Commissioner of Social Security (“the Commissioner”)1
denying his application for Disability Insurance Benefits (“DIB”)
and
Supplemental
Security
Income
(“SSI”).
This
Court
has
jurisdiction over the matter pursuant to 42 U.S.C. §§ 405(g),
1383(c).
PROCEDURAL STATUS
Plaintiff protectively filed applications for DIB and SSI on
December 5, 2012, which were denied. (T.81-82, 85-100, 202-09).2
Plaintiff requested a hearing, which was scheduled to be held via
1
Nancy A. Berryhill is now the Acting Commissioner of Social Security.
Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Nancy A.
Berryhill should be substituted for Acting Commissioner Carolyn W. Colvin as the
defendant in this suit. No further action needs to be taken to continue this suit
by reason of the last sentence of section 205(g) of the Social Security Act, 42
U.S.C. § 405(g).
2
Citations in parentheses to “T.” refer to pages from the certified
transcript of the administrative record.
videoconference on October 24, 2014, before administrative law
judge Rosanne M. Dummer (“the ALJ”). However, the hearing was
postponed until March 16, 2015, at which time Plaintiff appeared
with his attorney and testified, as did impartial vocational expert
Jacquelyn Schabacker (“the VE”). (See T.40-67). After the ALJ
issued
an
unfavorable
decision
on
March
20,
2015
(T.9-30),
Plaintiff requested review by the Appeals Council, which was denied
on December 18, 2015, making the ALJ’s decision the Commissioner’s
final decision. (T.1-4). This timely action followed.
The parties have cross-moved for judgment on the pleadings
pursuant to Rule 12(c) of the Federal Rules of Civil Procedure. The
Court adopts and incorporates by reference herein the undisputed
and comprehensive factual summaries contained in the parties’
briefs. The record will be discussed in more detail below as
necessary to the resolution of this appeal. For the reasons that
follow, the Commissioner’s decision is affirmed.
THE ALJ’S DECISION
The ALJ followed the five-step procedure established by the
Commissioner
for
evaluating
disability
claims.
See
20
C.F.R.
§§ 404.1520, 416.920. At step one of the sequential evaluation, the
ALJ found that Plaintiff had not engaged in substantial gainful
activity since January 1, 2008, the alleged onset date. (T.14).
At
step
two,
the
ALJ
found
Plaintiff
has
the following
“severe” impairments: major depressive disorder; anxiety disorder;
hypothyroidism; and cocaine abuse, cannabis abuse, and alcohol
-2-
abuse, all in reported remission. At step three, the ALJ determined
that whether considered individually or in combination, Plaintiff’s
severe impairments did not meet or equal a listed impairment.
(T.14-15).
Before proceeding to step four, the ALJ assessed Plaintiff’s
residual functional capacity (“RFC”) and determined that he has the
ability
to
perform
medium
work
as
defined
in
20
C.F.R.
§§ 404.1567(c) and 416.967(c),3 except that he needs to avoid
concentrated exposure to work hazards, and, secondary to mental
impairments,
he
can
understand,
remember,
and
carry
out
instructions; sustain attention for simple tasks for extended
periods
of
two-hour
segments;
tolerate
brief
and
superficial
contact with others, and occasional brief and superficial contact
with the public; and adapt to changes as needed for routine,
repetitive, unskilled work. (T.16-23).
At step four, the ALJ found that Plaintiff could not perform
his past relevant work. (T.23).
At step five, the ALJ relied on the VE’s testimony at the
hearing
(T.60-66)
regarding
an
individual
of
the
same
age,
education, and work experience as Plaintiff, who has the RFC
assessed
by
the
ALJ,
supra.
The
VE
testified
that
such
an
individual could perform representative occupations of automobile
3
Medium work involves lifting no more than 50 pounds at a time with frequent
lifting or carrying of objects weighing up to 25 pounds. If the claimant can do
medium work, he can also do sedentary and light work. See 20 CFR § 404.1567(c),
416.967(c).
-3-
detailer, dishwasher, general laborer, coffee attendant, sorter,
and laundry worker, all of which were at the medium, unskilled
level. In addition, the VE testified, such an individual could
perform
photocopy
representative
machine
occupations
operator,
and
of
housekeeper/cleaner,
packager,
all
of
which
were
unskilled, light-exertion work. (T.63-64). The VE further testified
that, even if the hypothetical person were off-task for up to 10%
of the time, he could perform the same jobs. (T.66). Because there
are jobs that exist in significant numbers in the economy that
Plaintiff can perform, the ALJ entered a finding of “not disabled.”
DISCUSSION
I.
Failure by the ALJ to Develop the Record (Plaintiff’s Point
II)
Although “[t]he claimant has the general burden of proving
that he or she has a disability within the meaning of the Act,”
“because a hearing on disability benefits is a non-adversarial
proceeding, the ALJ generally has an affirmative obligation to
develop the administrative record.” Burgess v. Astrue, 537 F.3d
117, 128 (2d Cir. 2008) (internal quotation marks and brackets
omitted).
This
represented
(2d
Cir.
by
duty
is
present
“[e]ven
counsel.”
Moran
v.
2009).“[W]here
there
are
when
Astrue,
no
569
obvious
a
claimant
F.3d
gaps
is
108, 112
in
the
administrative record, and where the ALJ already possesses a
‘complete medical history,’ the ALJ is under no obligation to seek
additional information. . . .” Rosa v. Callahan, 168 F.3d 72, 79
-4-
n.5 (2d Cir. 1999) (quoting Perez v. Chater, 77 F.3d 41, 48
(2d Cir. 1996)).
Plaintiff contends that the ALJ erred by failing to develop
the full record of his psychiatric care with Dr. Gregory Seeger at
Rochester Rehabilitation Mental Health Center (“RRMHC”). Plaintiff
asserts that the ALJ repeatedly stated in her decision that there
was no evidence of a debilitating mental health condition (see
T.19-20), but then made no effort to obtain Plaintiff’s psychiatric
notes with Dr. Seeger. Plaintiff states that the only psychiatric
treatment
note
in
the
RRMCH
records
from
Dr.
Seeger
is
his
treatment note from their December 8, 2014 session. (T.391-93).
According to Plaintiff, it is “clear” there are missing notes,
because on October 28, 2014, Licensed Clinical Social Worker
Beverly Dodd (“LCSW Dodd”) authored a letter indicating that
Plaintiff had been a patient at RRMHC since April 23, 2013, when he
was put on a waiting list for an initial psychiatric evaluation,
which was conducted on July 8, 2014. (T.358). However, in this
Court’s view, it is far from clear that there are in fact missing
records from Dr. Seeger. Moreover, the Court notes that when
Plaintiff’s attorney submitted the RRMHC records to the ALJ on
February 12, 2015, including records from November 10, 2014,
through January 30, 2015, he included one treatment note from
Dr. Seeger, dated December 8, 2014. (See T.19, 22, 386, 391). Prior
to the hearing, the Commissioner sent a notice to Plaintiff and his
attorney advising them to submit any additional evidence before the
-5-
hearing. (See T.166-71). However, at the hearing on March 16, 2015,
Plaintiff’s attorney did not indicate that he was awaiting any
additional medical records. (See T.43). Plaintiff testified that he
saw Dr. Seeger once a month or month-and-a-half; however, the
evidence in the record indicates that he missed at least one
appointment with Dr. Seeger in August 2014; and, on December 8,
2014, Dr. Seeger instructed Plaintiff to return for follow-up in
two months. See Tr. 49, 370, 392. Accordingly, the number of
appointments with Dr. Seeger that are actually missing from the
record between July 2014 and March 2015 appears to be small. In
addition, the treatment note from Dr. Seeger that is in the record
is dated December 8, 2014, which is at the midpoint of his
treatment, and which was apparently his last visit with Plaintiff
before he co-signed the report by Ms. Dodd on February 2, 2015. See
Tr. 16, 19, 22, 391-92, 379-85.
Indeed, later in his argument, Plaintiff walks back his
assertion that it is clear there are missing records, stating, it
is “likely that there are other notes” from Dr. Seeger. To support
this argument, Plaintiff relies on pure speculation. He states that
LCSW-R Dodd’s treatment notes “generally assume ongoing treatment
with Dr. Seeger in that they note only once that [Plaintiff] missed
an appointment with Dr. Seeger, and include tidbits such as [LCSW]
Dodd
Dr.
encouraging
Seeger[.]”
[Plaintiff]
(Plaintiff’s
to
discuss
Memorandum
his
of
medications
Law
(“Pl’s
with
Mem.”)
(Dkt #12-1) at 15-16 (citing T.370, 374)). However, the fact that
-6-
Plaintiff
missed
an
appointment
with
Dr.
Seeger
does
not
necessarily mean that he rescheduled the appointment. Nor does the
fact that LCSW Dodd counseled Plaintiff to meet with Dr. Seeger
prove that Plaintiff actually did meet with Dr. Seeger to discuss
his medications.
In short, Plaintiff has failed to establish how any additional
treatment notes from Dr. Seeger, assuming that such notes exist,
would have altered the ALJ’s findings, given the extensive mental
health treatment notes already in the record, which the ALJ did
consider.
See Reices-Colon
(2d
2013)
Cir.
v.
(unpublished
Astrue,
opn.)
523 F.
App’x
(rejecting
as
796, 799
“baseless”
claimant’s argument that ALJ failed to supplement the record, where
claimant she failed to explain how any specific missing record
would have affected the decision on her claim).
II.
RFC Unsupported by Substantial Evidence (Plaintiff’s Points I
and III)
A.
Erroneous Weighing of LCSW Dodd’s RFC Assessment
Plaintiff contends that the ALJ erred in his evaluation of the
January 30, 2015, RFC assessment by his treating therapist, LCSW
Dodd, pointing to the ALJ’s failure to specifically acknowledge
that
the
opinion
was
co-signed
by
Plaintiff’s
psychiatrist,
Dr. Seeger, on on February 2, 2015. (T.21-22, 380-85). Plaintiff
argues that Dr. Seeger’s co-signing of LCSW Dodd’s opinion renders
it an opinion from a treating physician, entitling to deference
under the treating physician rule.
-7-
Under the Regulations in effect at the time of the ALJ’s
decision, a treating physician’s opinion on the issues of the
nature
and
severity
of
a
claimant’s
impairments
is
accorded
controlling weight only when it is well-supported by medically
acceptable clinical and laboratory diagnostic techniques, and is
not inconsistent with the other substantial evidence in the record.
See
20
C.F.R.
Barnhart,
362
§§
F.3d
404.1527(c)(2),
28,
32
(2d
416.927(c)(2);
Cir.
2004).
When
Halloran
a
v.
treating
physician’s opinion is not entitled to controlling weight, the ALJ
is to consider (1) the examining relationship; (2) the length,
nature and extent of the treatment relationship, and frequency of
examination;
(3)
the
supportability
of
the
opinion;
(4)
the
consistency of the opinion with the record as a whole; (5) the
source’s area of specialization, if any; and (6) other factors
brought to the ALJ’s attention. See 20 C.F.R. §§ 404.1527(c),
416.927(c). However, the Second Circuit has cautioned that it does
not require a “slavish recitation of each and every factor, where
the ALJ’s reasoning and adherence to the regulation are clear.”
Atwater v. Astrue, 512 F. App’x 67, 70 (2d Cir. 2013) (unpublished
opn.) (citing Halloran, 362 F.3d at 31-32 (affirming ALJ opinion
which did “not expressly acknowledge the treating physician rule,”
but where “the substance of the treating physician rule was not
traversed”).
Assuming that LCSW Dodd’s co-signed report was entitled to the
ALJ’s
application
of
the
treating
-8-
physician
presumption
of
deference, the Court finds that “the substance of the treating
physician rule was not traversed.” Halloran, 362 F.3d at 32. It is
apparent from the ALJ’s analysis of LCSW Dodd’s report that the ALJ
considered most of the same factors set forth in the treating
physician regulations, 20 C.F.R. §§ 404.1527(c) and 416.927(c). For
instance, the ALJ considered the supportability of the opinion, and
the consistency of the opinion with the record as a whole. (T.2021).
Applying the pertinent regulations and legal principles, the
Court is able to “deduce that the ALJ considered the treating
physician’s opinion and explained the consistency of [that] opinion
‘with the record as a whole.’” Halloran, 362 F.3d at 32 (quoting
20 C.F.R. § 404.1527(d)(4)). In particular, the ALJ noted that
“routine therapy notes and psychiatric examination did not indicate
any debilitating mental health problems[,]” and Plaintiff “was
treated conservatively with counseling and medications on a routine
basis,
in
stressors.”
mostly
In
cognitive
addition,
behavioral
LCSW
Dodd’s
management
opinion
for
was
life
somewhat
internally inconsistent insofar as she checked a box indicating
that Plaintiff would be absent from work approximately four days
per
month
(T.384),
but,
with
regard
to
ability
to
perform
semi-skilled and skilled work, she opined that Plaintiff was
“seriously limited but not precluded” in his ability to deal with
the stress of semi-skilled and skilled work, and he had a limited
but satisfactory ability to understand, remember, and carry out
detailed instructions, and to set realistic goals or make plans
-9-
independently of others. (T.383). Moreover, LCSW Dodd stated,
Plaintiff had an “unlimited or very good” ability to interact
appropriately
with
the
general
public,
maintain
socially
appropriate behavior, adhere to basic standards of neatness and
cleanliness, and use public transportation. (T.383). LCSW Dodd’s
report also suggests uncertainty about Plaintiff’s actual degree of
impairment, since she noted that “[d]epressive symptoms and anxiety
may seriously impair work functioning at this time. Symptoms may
interfere with concentration and focus.” (T.383). As the ALJ noted,
it “appears that [LCSW] Dodd’s statements were speculative; she
noted that the claimant’s symptoms ‘may’ impair work function and
it
was
‘possible’
that
his
psychiatric
condition
exacerbates
pain[.]” Furthermore, as the ALJ observed, LCSW Dodd’s report was
inconsistent with Dr. Seeger’s previous month’s examination of
Plaintiff
on
December
8,
2014.
During
that
visit,
Plaintiff
reported increased anxiety and stated that he was starting to get
mildly depressed again, but it was mainly situational insofar he
complained
primarily
about
his
unsafe
living
conditions
and
dangerous neighborhood (for which LCSW Dodd had referred him to
housing assistance services on that same day). (See T.19-20, 391,
393).
Dr.
Seeger’s
mental
status
examination
revealed
that
Plaintiff’s thought process was characterized by some persistent
racing thoughts, his mood was mildly depressed and affect was
characterized by some anxiety, but other findings were essentially
normal; he had intact recent and remote memory, and good attention
-10-
span, concentration, judgment, and general grooming and hygiene.
(T.391-92). Dr. Seeger noted that Plaintiff was not a danger to
himself or
others,
and
increased
his dosage
of
Celexa,
with
instructions to follow up in two months. (T.392). The ALJ observed
further that “[t]here was no evidence of overt concern by mental
health
clinicians
recommended
to
[LCSW
use
Dodd
cognitive
and
Dr.
behavioral
Seeger];
he
techniques
was
and
only
begin
seeking new living arrangements. Though he alleged medication
side-effects at the hearing, the record indicated he complied with
medications,
had
no
side-effects,
and
the
medication
was
effective.” The ALJ’s conclusion that “[o]verall,” Plaintiff did
not have a “debilitating physical or mental condition” is supported
by substantial evidence.
B.
Erroneous Credibility Assessment
Plaintiff assigns error to the ALJ’s consideration of his
criminal history and substance abuse history as detrimental to his
overall credibility. The ALJ “note[d] a significant history of
cocaine use and incarceration. . . . The history of substance and
legal history also do little to enhance the overall credibility of
his statements. . . .” (T.22).
An ALJ properly may considere a
claimant’s criminal history and substance abuse in assessing his
credibility. See, e.g., Williams v. Comm’r of Soc. Sec., 423 F.
Supp.2d 77, 84 (W.D.N.Y. 2006) (ALJ properly considered claimant’s
criminal
history
and
other
factors
in
assessing
claimant’s
credibility). However, it is error for an ALJ to categorically
-11-
reject a claimant’s subjective complaints based on his criminal
history or prior substance abuse. See, e.g., Arrington v. Astrue,
No. 09-CV-870 A F, 2011 WL 3844172, at *13 (W.D.N.Y. Aug. 8, 2011)
(“The ALJ’s categorical rejection of [the claimant]’s claims of
pain relating to [the claimant]’s right knee impairment on the
basis
that
[the
claimant]’s
criminal
bank
robbery
conviction
rendered [the claimant] without any credibility, was error.”),
report and recommendation adopted, No. 09-CV-870, 2011 WL 3844164
(W.D.N.Y. Aug. 30, 2011). Here, the ALJ did not categorically
reject Plaintiff’s subjective complaints on the basis of his prior
criminal history and substance abuse, but instead considered other
appropriate
factors
inconsistencies
between
for
assessing
Plaintiff’s
credibility,
statements. See
such
20
as
C.F.R.
§§ 404.1529(c)(4), 416.929(c)(4). The ALJ noted that “[t]hough the
claimant testified that he has stopped use of all alcohol and
illegal substances, records suggest ongoing alcohol and marijuana
use[.]” (See T.18, 20, 22, 47, 52, 323, 340).
The ALJ also
considered other reasons for finding that Plaintiff’s subjective
statements overstated his limitations, such as LCSW Dodd’s repeated
referral of Plaintiff vocational rehabilitation and her continued
encouragement of him to find work. See Camille v. Colvin, 652 F.
App’x 25, 27 n. 2 (2d Cir. 2016) (unpublished opn.) (finding ALJ’s
attribution of limited weight to treating physician’s opinion was
supported
clinical
by
substantial
notes,
which
evidence
included
-12-
including
physician’s
recommendation
that
own
claimant
participate in vocational rehabilitation); Poupore v. Astrue, 566
F.3d 303, 305-06 (2d Cir. 2009) (per curiam) (determination that
claimant was not disabled was supported by substantial evidence,
including report of claimant’s treating physician stating that he
would be “an excellent candidate for vocational rehabilitation, and
capable of performing lighter work”). Moreover, Plaintiff looked
for work throughout the relevant period of alleged disability.4 At
a July 2, 2014 appointment with LCSW Dodd, Plaintiff “again talked
about getting a job, and reported that he had made some efforts to
obtain one through his contacts” and observed that “must have a
high paying job, not a job that pays minimum wage.” (T.366). LCSW
Dodd attempted to help Plaintiff see the discrepancies between what
he wanted versus what he was willing to do to get it, but Plaintiff
maintained that he was “not going to start all over again.”
(T.366). LCSW Dodd provided examples of people who had needed to
“start over” and had done so successfully; she “continue[d] to
encourage him to accept work anywhere.” (T.366). It was not error
for the ALJ to consider that factors unrelated to his impairments
contributed to Plaintiff’s unemployment. In addition, the ALJ
appropriately considered that Plaintiff’s work ended in 2008 due to
reasons unrelated to any of his impairments. Plaintiff testified
that he last worked in 2008, removing asbestos from buildings and
4
The Commissioner’s “regulations provide that employment ‘during any period’
of claimed disability may be probative of a claimant’s ability to work, 20 C.F.R.
§§ 404.1571, 416.971.” Moore v. Comm’r of Soc. Sec. Admin., 278 F.3d 920, 924
(9th Cir. 2002) (emphasis in original).
-13-
supervising 15 people in performing that task. (T.45). When asked
whether he quit or was terminated, Plaintiff responded that the
contract ended. (T.45, 323). He further testified that he was
supposed to renew his asbestos license every two years, but he was
sent to the wrong recertification class; as a result, he lost his
license. (T.55-56). Plaintiff was told that he would have to repeat
the entire certification program (T.56), which he apparently did
not do.
It is well within the discretion of the Commissioner to
evaluate the credibility of [P]laintiff’s complaints and render an
independent judgment in light of the medical findings and other
evidence.” Williams v. Comm’r of Soc. Sec., 423 F. Supp.2d 77, 84
(W.D.N.Y. 2006) (citing Mimms v. Heckler, 750 F.2d 180, 185–86
(2d Cir. 1984) (“On appeal, the court’s proper function is merely
to determine whether the appropriate legal standards have been
applied and assess whether the Secretary’s findings of fact are
supported by substantial evidence.”); Social Security Ruling 96–7p,
1996 WL 374186 (S.S.A. July 2, 1996)). Here, in making factual
findings
regarding
the
credibility
of
Plaintiff’s
subjective
complaints, the ALJ did not misstate or mischaracterize the record,
and did not misapply the relevant legal principles. Accordingly,
the
Court
may
not
re-examine
the
credibility determination.
-14-
evidence
and
make
its
own
CONCLUSION
For
the
foregoing
reasons,
the
Court
finds
that
the
Commissioner’s decision is not legally flawed and is based on
substantial evidence. Accordingly, it is affirmed. Defendant’s
motion for judgment on the pleadings is granted, and Plaintiff’s
motion for judgment on the pleadings is denied. The Clerk of Court
is directed to close this case.
SO ORDERED.
S/Michael A. Telesca
HON. MICHAEL A. TELESCA
United States District Judge
Dated:
May 18, 2017
Rochester, New York.
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