Whitted v. Commissioner of Social Security Administration
Filing
12
Memorandum Opinion and Order. The Court AFFIRMS the Commissioner's decision. Signed by Magistrate Judge Amanda M. Knapp on 3/12/2025.(P,G)
IN THE UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF OHIO
EASTERN DIVISION
CASE NO. 23-CV-1732-AMK
ANJENETTE WHITTED,
Plaintiff,
MAGISTRATE JUDGE AMANDA M. KNAPP
vs.
MEMORANDUM OPINION AND ORDER
COMMISSIONER OF SOCIAL SECURITY,
Defendant.
Plaintiff Anjenette Whitted (“Plaintiff” or “Ms. Whitted”) seeks judicial review of the
final decision of Defendant Commissioner of Social Security (“Commissioner”) denying her
application for Disability Insurance Benefits (“DIB”) and Supplemental Security Income
(“SSI”). (ECF Doc. 1.) This Court has jurisdiction pursuant to 42 U.S.C. § 405(g). This matter
is before the undersigned by consent of the parties under 28 U.S.C. § 636(c) and Fed. R. Civ. P.
73. (ECF Doc. 5.) For the reasons set forth below, the Court AFFIRMS the Commissioner’s
decision.
I.
Procedural History
Ms. Whitted filed her DIB and SSI applications on February 25, 2021, alleging a
disability onset date of March 2, 2020. (Tr. 189, 196.) She asserted disability due to post
traumatic stress disorder, chronic depression, anxiety, and grief. (Tr. 50, 68.) Ms. Whitted’s
applications were denied at the initial level on July 27, 2021 (Tr. 95, 100) and at the
reconsideration level on November 5, 2021 (Tr. 112, 117). She then requested a hearing before
an Administrative Law Judge (“ALJ”). (Tr. 127-29, 150-65.) A telephonic hearing was held
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before an ALJ on June 22, 2022. (Tr. 37-49.) The ALJ issued an unfavorable opinion on
January 27, 2022. (Tr. 27.)
Ms. Whitted’s request for review of the decision by the Appeals Council was denied on
July 3, 2023 (Tr. 1-6), making the ALJ’s decision the final decision of the Commissioner.
Ms. Whitted filed her Complaint seeking judicial review on February 16, 2023. (ECF Doc. 1.)
The case is fully briefed and ripe for review. (ECF Docs. 9, 11.)
II.
A.
Evidence
Personal, Educational, and Vocational Evidence
Ms. Whitted was born in 1970 and was 49 years old on the alleged disability onset date,
making her a younger individual on the alleged disability onset date, and an individual closely
approaching advanced age as of the ALJ’s decision under Social Security regulations. (Tr. 25,
289.) She had at least a high school education. (Id.) Ms. Whitted has not engaged in substantial
gainful activity since the alleged onset date. (See Tr. 68.)
B.
Medical Evidence
Although the ALJ identified both physical and mental impairments (Tr. 13), Ms. Whitted
focuses her argument on a consultative examiner’s psychological medical opinion and the ALJ’s
mental RFC assessment (see ECF Doc. 9). The evidence summarized herein is therefore focused
on the evidence relevant to her mental impairments.
1.
Relevant Treatment History
On January 14, 2019, Ms. Whitted had a mental health assessment and medication
management appointment with Sharon Roesner, APRN-CNP, at MetroHealth Medical Center.
(Tr. 282-285.) Ms. Whitted’s chief complaint was that she felt “like a zombie” on 20 mg of
Celexa twice daily; she also reported increased depression, difficulty sleeping, weight gain, and
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feelings of guilt, hopelessness, and helplessness regarding her children. (Tr. 282.) Ms. Whitted
denied symptoms related to anxiety, psychosis, mania, OCD, or self-mutilation. (Tr. 282-83.)
Mental status findings were unremarkable except for a depressed mood. (Tr. 285.) CNP
Roesner confirmed her prior diagnosis of Major Depressive Disorder, recurrent, moderate. (Tr.
284-85.) Ms. Whitted’s medications were adjusted, decreasing Celexa and adding bupropion and
Ambien. (Tr. 286.) CNP Roesner advised a follow-up in two months. (Id.)
On March 14, 2019, Ms. Whitted had a counseling appointment with Elliot Gutow,
LISW, at MetroHealth. (Tr. 288.) She presented with flat affect; other mental status findings
were unremarkable. (Tr. 289-90.) Ms. Whitted discussed her son’s death and said she had
started to cook again. (Tr. 288.) LISW Gutow indicated her symptoms were in partial remission
and suggested weekly appointments for the next three weeks. (Tr. 289.)
Ms. Whitted had a medication management appointment with CNP Roesner on March 22,
2019. (Tr. 292.) She presented with a flat affect and dysphoric mood. (Id.) Ms. Whitted stated
that her symptoms were exacerbated by a shooting outside her home which she witnessed. (Id.)
The shooting brought back memories of when her son was shot, and she was having flashbacks
and feelings of being held down on the bed and not able to breathe. (Tr. 293.) Ms. Whitted
reported that her medications were not providing relief. (Id.) CNP Roesner assessed her with
continued depression and adjusted her medications by discontinuing Celexa and prescribing
Zoloft and Prazosin. (Id.) A two-month follow-up was advised. (Tr. 294.)
On August 22, 2019, Ms. Whitted had a counseling appointment with Elevani Fletcher,
LPCC-S 1 at MetroHealth. (Tr. 294.) She reported a low mood, feeling overwhelmed, and
continued grief about the death of her son in 2017. (Id.) She also reported increased stress over
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Ms. Whitted was transferred from LISW Gutow to LPCC Fletcher. (See Tr. 294.)
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finances and physical health. (Id.) Her mental status examination was notable for dysphoric
mood, guarded behavior, and tight associations. (Tr. 294.)
Ms. Whitted saw LPCC Fletcher again on August 28, 2019. (Tr. 297.) She reported low
mood, visual hallucinations of the covers moving while she was in bed and seeing her deceased
son with a group of people in her home. (Id.) Ms. Whitted said she signed over her home to a
couple due to outstanding taxes and housing violations. (Id.) Her mental status examination was
notable for dysphoric mood, guarded behavior, and tight associations. (Tr. 298.)
On October 31, 2019, Ms. Whitted saw CNP Roesner for a medication management
appointment. (Tr. 317.) She reported feeling somewhat better with Zoloft but said she was still
tired. (Id.) She had stopped taking bupropion because she mistakenly thought that she had to;
she agreed to start taking it again with the Zoloft to see how she felt then. (Id.) Her mental
status examination was notable for depressed mood and flat affect. (Tr. 318.) CNP Roesner
noted that she remained depressed but was “less depressed than before.” (Id.) Zoloft was
increased and Xanax was added for panic attacks; CNP Roesner instructed Ms. Whitted to break
the Xanax tablets in half, and to only use them as needed for anxiety and panic. (Tr. 317.)
At her next medication management appointment, on December 30, 2019, Ms. Whitted
reported feeling overwhelmed. (Tr. 328.) She said she wanted to be in her house “to have a
good cry” but felt like she could not because her grandchildren were over all of the time. (Id.)
She was not able to summon the strength for laundry or attending appointments, and she worried
about her son; he was in mental health treatment and not doing well. (Id.) Ms. Whitted reported
some visual hallucinations with Ambien. (Id.) Her mental status examination was notable for
slow but clear and soft speech, depressed mood with indifference to living or dying, flat affect
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with eye contact, and fair judgment and insight. (Id.) No changes were made to her medications,
and a two-month follow-up was advised. (Tr. 329.)
Ms. Whitted saw CNP Roesner again on March 6, 2020, and reported that her
medications helped her depression, that Ambien was not causing more problems, and that Xanax
helped but did not totally resolve her anxiety. (Tr. 351-52.) Her mental status examination was
notable for “somewhat depressed” mood and slow but soft and clear speech. (Tr. 352.)
At a follow-up appointment with CNP Roesner on May 21, 2020, Ms. Whitted said she
had a hard time going anywhere and had not left the house in a month, and that mask wearing
caused anxiety. (Tr. 355.) Her mental status findings were notable for anxious mood, and her
prazosin was increased. (Id.) A three-month follow-up was advised. (Tr. 356.)
On June 23, 2020, Ms. Whitted called the MetroHealth nurse hotline to report that she
had attended a work orientation for Amazon, where she had possibly been exposed to Covid-19.
(Tr. 396.) A telephone appointment was scheduled for June 26, 2020, but was canceled after
Ammaji Narra, M.D., called twice with no answer. (Id.)
On December 23, 2020, Ms. Whitted had a medicine management appointment via
telehealth with CNP Roesner. (Tr. 369.) Ms. Whitted said she had been having a stressful time
and was getting her house ready to start a day care. (Tr. 370.) She was not currently living in
her house because she was frightened of gun shots, remembering the events from before when
“somebody shot her house up bottom to top.” (Id.) Ms. Whitted said she was going to sell her
house and move somewhere safer, but she had to get the bullet holes fixed. (Tr. 371.) She was
not sure she was going to be able to re-do her daycare and was going to call a lawyer to retry for
disability. (Id.) Her mental status examination was notable for fearful behavior, pressured and
scared speech, and anxious/depressed mood. (Id.) CNP Roesner’s impression was that Ms.
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Whitted was “not doing well” and was “having nightmares and panic and depression ha[d]
increased.” (Id.) Ms. Whitted did not want a change in her medications, and no changes were
made. (Id.) A three-month follow-up was advised. (Tr. 372.)
At her follow-up with CNP Roesner on March 17, 2021, Ms. Whitted reported that she
was caring for one child at her daycare after she found that she was unable to manage caring for
two. (Tr. 374.) On mental status examination, she was fearful, anxious, and depressed, with
pressured and anxious speech. (Tr. 374-75.) No changes to were made to Ms. Whitted’s
treatment plan and a three-month follow-up was advised. (Tr. 375.)
At a follow-up appointment with CNP Roesner on June 10, 2021, Ms. Whitted reported
that she was feeling overwhelmed with family responsibilities and grieving her son, who she had
lost around the same time in 2017. (Tr. 717.) She was thinking of checking herself into the
hospital, but she needed to “press on” because she had to take care of her grandchildren. (Id.)
On a mental status examination, she displayed pressured and anxious speech, and an anxious,
depressed mood. (Id.) CNP Roesner’s impression was that Ms. Whitted was “not doing well”
and still had depression and anxiety. (Id.) No changes were made to her medications, but
follow-up was recommended in one month. (Id.)
At her one-month follow-up on July 9, 2021, CNP Roesner again indicated that Ms.
Whitted was “not doing well” with regard to her depression and anxiety. (Tr. 725.) Ms.
Whitted reported feeling “overwhelmed” with feeling responsible for her family and taking care
of her grandchildren. (Id.) Mental status findings were the same as the prior month, with
pressured / anxious speech and an anxious, depressed mood. (Id.) No changes were made to
her medications and a one-month follow-up was recommended. (Tr. 726.)
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At a September 3, 2021 follow-up with CNP Roesner, Ms. Whitted reported she was
having a bad day; she had been watching three or four kids but had to stop due to pain and her
disability application was declined so she had no money coming in. (Tr. 773-74.) Mental
status findings were notable for pressured, anxious speech and anxious/depressed mood. (Tr.
775.) She had stopped taking her medications but was going to get them filled that day. (Id.)
No medication changes were made; a one-month follow-up was recommended. (Tr. 775-76.)
On April 13, 2022, Ms. Whitted had an appointment with family medicine practitioner
April Black, APRN-CNP. (Tr. 857.) They discussed her physical and mental health symptoms.
(See Tr. 859.) Ms. Whitted told CNP Black she had not had behavioral health since her last
provider passed away. (Tr. 857.) Ms. Whitted reported that she still struggled with sleep and
grief over the loss of her son; she was fatigued but could not sleep without medication. (Id.) She
said she had an upcoming behavioral health appointment. (Tr. 859.)
On April 23, 2022, Ms. Whitted had an appointment with Carrie Lingro, APRN-CNP, at
MetroHealth, for mental health update and pharmacological management. (Tr. 872.) CNP
Lingro reviewed CNP Roesner’s initial diagnostic assessment. (Id.) Ms. Whitted reported that
she had been going downhill, and that she tried going to work as a service coordinator at a food
pantry, but the job was too overwhelming. (Id.) She reported laying in her room and pretending
to be asleep when family called, panic attacks, being unable to motivate to do laundry or clean,
and withdrawing from friends and family. (Tr. 873.) Ms. Whitted said she felt miserable and
bitter, like she was about to have a mental breakdown, and did not care if she woke up. (Id.)
Her mental status examination was notable for a depressed, anxious mood but with full affect.
(Tr. 879.) CNP Lingro’s diagnostic impression was PTSD, Major Depressive Disorder, and
differential diagnosis of Generalized Anxiety Disorder. (Id.) Ms. Whitted’s medications were
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adjusted, with the addition of Prozac and the continuation of Xanax, Wellbutrin, and Ambien.
(Id.) Abilify was to be considered if improvement was not achieved. (Id.) CNP Lingro advised
monthly appointments, moving to quarterly after her symptoms had stabilized. (Tr. 882.)
Ms. Whitted returned to CNP Lingro for a medication management visit on May 20,
2022. (Tr. 888.) She continued to struggle with anxiety and found Ambien no longer helped her
sleep. (Id.) She had been working at the food pantry but quit because they changed the pantry
around and threw several things away that she was going to give to children. (Tr. 890.) Her
mood was anxious but other mental status findings were unremarkable. (Id.) CNP Lingro
instructed her to wean Zoloft, start Prozac, and continue Xanax, Wellbutrin, and Ambien. (Tr.
891.) A follow-up in one month was recommended. (Tr. 893.)
2.
Opinion Evidence
i.
Consultative Examination
On May 10, 2021, consultative examiner Natalie Whitlow, Ph.D. conducted a
psychological evaluation of Ms. Whitted at the request of the state agency. (Tr. 500-08.) Dr.
Whitlow’s sources of data were a 60-minute clinical interview with Ms. Whitted and a December
11, 2020 pharmacy note. (Tr. 501.) Ms. Whitted reported difficulty sleeping, nightmares, panic
attacks, shutting down, crying spells, isolation, and forgetfulness. (Id.) Since her son’s death,
she said she was easily triggered and found herself reliving what happened. (Tr. 501-02.) When
that happened, she would “zone out,” cry, or have a panic attack. (Tr. 503). She also reported
poor eating habits, poor personal hygiene, and trouble socializing. (Tr. 504.)
On mental status examination, Dr. Whitlow observed that Ms. Whitted minimally
attended to her personal hygiene and was slightly disheveled. (Tr. 504.) At the onset of the
evaluation, Ms. Whitted began crying, shaking, and displaying psychomotor agitation,
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unsolicited. (Id.) But she arrived on time, maintained appropriate eye contact, and was
cooperative, alert, attentive, and coherent with her communication. (Id.) Her speech was within
the normative range of functioning, but her thought processing was fixated on the trauma of
losing her son and appeared to interfere with her cognitive functioning. (Id.) Her affect was
extremely sad, fragile, depressed, and “inappropriate” given the intensity of her affective state
and the severity of her sadness and depression. (Tr. 505.) She did not present with significant,
observable, or readily identifiable signs of anxiety during the evaluation. (Id.) She was oriented
to person, place, time, and event, and appeared to possess average cognitive functioning. (Id.)
Her insight was fair, but her judgment was “poor” because she reported and presented as
engaging in behaviors, thought processing, and decision-making that was driven by mental
health symptomology and served to debilitate her functioning. (Tr. 506.)
Overall, Dr. Whitlow observed that Ms. Whitted:
presented with significant and severe signs of depression and PTSD that were
demonstrated through her emotional fragility, her disheveled presentation, her
excessive crying, her psychomotor agitation, her fixation on telling the story of her
son’s death, and her scattered thinking and communication patterns.
(Tr. 503.) She assessed Ms. Whitted’s mental health prognosis as “poor” because of the severity
and longevity of her reported symptoms, including a reported increase in frequency, intensity,
and severity, her history of the death of her son, her reports of the significant ways her symptoms
impaired her day-to-day functioning, and her presentation at the evaluation with “significant and
severe mental health signs” that impacted her functioning and performance. (Tr. 506.) Dr.
Whitlow found Ms. Whitted’s reports to be reliable, and concluded:
[I]t is this evaluator’s professional opinion that the claimant’s mental health
symptoms cause her to have impairments with engaging in the many aspects of the
work world related to decision-making, impulse control, anger and behavior
management, interpersonal interactions, and complying with directives.
(Tr. 507.)
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Dr. Whitlow then provided the following functional assessment:
•
Describe the claimant’s abilities and limitations in understanding,
remembering, and carrying out instructions.
From a mental health perspective, the claimant does not appear to have
limitations with understanding or remembering instructions.
The claimant appears to have limitations with carrying out instructions, which
is evidenced by her MDD with anxious distress and psychotic features and
PTSD diagnoses that have accompanying symptoms that cause her to
experience diminished levels of motivation, drive, energy, care, or a sense of
greater life purpose.
•
Describe the claimant’s abilities and limitations in maintaining attention and
concentration, and in maintaining persistence and pace to perform simple
tasks and to perform multi-step tasks.
From a mental health perspective, the claimant does not appear to have
limitations with maintaining attention, concentration, and mental persistence.
The claimant appears to have limitations with following through on tasks and
completing tasks, which is evidenced by her MDD with anxious distress and
psychotic features and PTSD diagnoses that have accompanying symptoms that
cause her to experience diminished levels of motivation, drive, energy, care, or
a sense of greater life purpose.
•
Describe the claimant’s abilities and limitations in responding appropriately
to supervision and to coworkers in a work setting.
Based off of the information presented in this clinical interview, the claimant
does not appear to have debilitating limitations on this functional assessment
area.
•
Describe the claimant’s abilities and limitations in responding appropriately
to work pressures in a work setting.
The claimant appears to have limitations on this functional assessment area,
which is evidenced by her MDD with anxious distress and psychotic features
and PTSD diagnoses that have accompanying symptoms that impair her ability
to engage in regular and responsible attendance, to possess adequate level of
care drive, and motivation to present professionally, appropriately interact with
others, or to do an exemplary job at completing her work and having adequate
performance.
(Tr. 507-08.)
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ii.
State Agency Medical Consultants
Upon initial review, on July 27, 2021, state agency psychological consultant Kristen
Haskins, Psy.D., completed a Psychiatric Review Technique (“PRT”) (Tr. 52-53) and Mental
RFC Assessment (Tr. 54-57). In the PRT, Dr. Haskins found that Ms. Whitted had moderate
limitations in concentrating, persisting, and maintaining pace, and adapting and managing
oneself; and mild limitations in understanding, remembering, or applying information, and
interacting with others. (Tr. 53, 61.) Ms. Whitted retained the capacity to: perform short cycle
work; without strict time limitations or production standards; within a set routine where major
changes are explained in advance and gradually implemented; and in a setting away from the
distraction of others. (Tr. 55, 63.)
Upon reconsideration, on October 22, 2021, state agency psychological consultant
Deryck Richardson, Ph.D., affirmed Dr. Haskins’s PRT (Tr. 70-73) and mental RFC (Tr. 79-82).
3.
Hearing Testimony
i.
Plaintiff’s Testimony
Ms. Whitted appeared for a telephonic hearing on June 22, 2022 (Tr. 37-49), where she
was represented by counsel (Tr. 39). Ms. Whitted had a high school education plus one year of
college. (Tr. 40.) Between 2010 and 2016, she worked in a drug reentry prevention program as
an outreach worker, helping clients coming out of incarceration. (Id.) Ms. Whitted also
previously worked as a youth counselor for a community center. (Tr. 41.)
Ms. Whitted said she became disabled on March 2, 2020, when she witnessed a shooting
outside of her home. (Tr. 41-42.) That event triggered memories from the loss of her son, who
died in 2017. (Tr. 42.) On a typical day, she would sometimes get up and brush her teeth. (Id.)
Other days, she would stay in bed and try to get up and take her meds. (Id.) Her medication had
11
been adjusted and it was helping her moods; she was getting up more and trying to clean. (Id.)
In the evening, her friend cooked dinner around 6:00 p.m. (Id.) After that, Ms. Whitted took her
evening medications and went to bed. (Id.) Her new psychiatrist changed her medications to
help her sleep and to improve her mood and anxiety. (Tr. 43.) Ms. Whitted was also on
medication to help her with the side effects from the other medications. (Id.)
Upon examination by her attorney, Ms. Whitted said there were days she did not get out
of bed or take care of her hygiene. (Tr. 43.) That had happened for stretches of over two weeks.
(Id.) Her family or friends would try to get her out of bed during those spells, but it was hard
because she would just want to go lay back down. (Tr. 44.) She also reported that there were
periods in the last two years when she felt better. (Tr. 44.) One example was when she was
trying to get back into daycare, and she did a little bit at a time to prepare her house; she felt the
medications were working well at that time. (Id.) Then the shooting in front of her house
pushed her back into her mental health symptoms and she stopped preparing her house. (Tr. 45.)
ii.
Vocational Expert’s Testimony
A Vocational Expert (“VE”) testified at the hearing. (Tr. 45-49.) He testified that a
hypothetical individual of Ms. Whitted’s age, education, and work experience, with the
functional limitations described in the RFC determination, could not perform Ms. Whitted’s past
relevant work, but could perform representative positions in the national economy, like industrial
cleaner, kitchen helper, and bagger. (Tr. 47.) If the person was off task more than 10% of the
time or would be absent more than eight days per year, the VE testified that would preclude
competitive employment. (Tr. 48.)
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III.
Standard for Disability
Under the Social Security Act, 42 U.S.C § 423(a), eligibility for benefit payments
depends on the existence of a disability. “Disability” is defined as the “inability to engage in any
substantial gainful activity by reason of any medically determinable physical or mental
impairment which can be expected to result in death or which has lasted or can be expected to
last for a continuous period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A).
An individual shall be determined to be under a disability only if his physical or
mental impairment or impairments are of such severity that he is not only unable to
do his previous work but cannot, considering his age, education, and work
experience, engage in any other kind of substantial gainful work which exists in the
national economy[.]
42 U.S.C. § 423(d)(2)(A).
To make a determination of disability under this definition, an ALJ is required to follow a
five-step sequential analysis set out in agency regulations, summarized as follows:
1.
If the claimant is doing substantial gainful activity, he is not disabled.
2.
If the claimant is not doing substantial gainful activity, his impairment must
be severe before he can be found to be disabled.
3.
If the claimant is not doing substantial gainful activity, is suffering from a
severe impairment that has lasted or is expected to last for a continuous
period of at least twelve months, and his impairment meets or equals a listed
impairment, the claimant is presumed disabled without further inquiry.
4.
If the impairment does not meet or equal a listed impairment, the ALJ must
assess the claimant’s residual functional capacity and use it to determine if
the claimant’s impairment prevents him from doing past relevant work. If
the claimant’s impairment does not prevent him from doing his past relevant
work, he is not disabled.
5.
If the claimant is unable to perform past relevant work, he is not disabled if,
based on his vocational factors and residual functional capacity, he is
capable of performing other work that exists in significant numbers in the
national economy.
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20 C.F.R. § 404.1520; see also Bowen v. Yuckert, 482 U.S. 137, 140-42, 107 S. Ct. 2287, 96 L.
Ed. 2d 119 (1987). Under this sequential analysis, the claimant has the burden of proof at Steps
One through Four. See Walters v. Comm’r of Soc. Sec., 127 F.3d 525, 529 (6th Cir. 1997). The
burden shifts to the Commissioner at Step Five to establish whether the claimant has the
Residual Functional Capacity (“RFC”) and vocational factors to perform other work available in
the national economy. Id.
IV.
The ALJ’s Decision
In his August 9, 2022 decision, the ALJ made the following findings: 2
2
1.
The claimant met the insured status requirements of the Social Security
Act through December 31, 2021. (Tr. 12.)
2.
The claimant had engaged in substantial gainful activity since March 2,
2020, the alleged onset date. (Tr. 13.)
3.
The claimant had the following severe impairments: obesity; right-sided SI
joint dysfunction; depression; and post-traumatic stress disorder (PTSD).
(Id.)
4.
The claimant did not have an impairment or combination of impairments
that meets or medically equals the severity of the listed impairments in 20
C.F.R. Part 404, Subpart P, Appendix 1. (Id.)
5.
The claimant has the residual functional capacity to perform medium work
as defined in 20 CFR 404.1567(c) and 416.967(c) except: she can lift
and/or carry up to 50 pounds occasionally, 25 pounds frequently, stand for
six hours in an eight-hour workday, walk for six hours in an eight-hour
workday, and sit for six hours in an eight-hour workday. She can
continuously push/pull and operate foot pedals. She has no postural,
manipulative, visual, communication, or environmental limitations. She
can do no complex tasks but can do simple (routine) tasks which I define
to mean this person has the basic mental aptitude to meet the demands of
competitive, remunerative, unskilled work including the abilities to, on a
sustained basis, understand, carry out, and remember simple instructions.
She can do detailed, but not complex tasks. She can make simple workrelated decisions. She can respond appropriately to supervision,
coworkers, and usual work situations; and can deal with changes in routine
The ALJ’s findings are summarized.
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work settings. She can focus attention on simple or routine work activities
for at least 2 hours at a time and can stay on task at a sustained rate such as
initiating and perform a task that they understand and know how to do. She
can work at an appropriate and consistent pace and can complete tasks in
a timely manner. She can ignore or avoid distractions while working; can
change activities or work settings without being disruptive. She can do no
high production quotas or piece rate work. And she can have superficial,
occasional interactions with public, co-workers meaning limited to
speaking, signaling, taking instructions, asking questions and similar
contact but with no arbitration, negotiation, confrontation, supervision, or
commercial driving. (Tr. 15-16.)
6.
The claimant is unable to perform any past relevant work. (Tr. 25.)
7.
The claimant was a younger individual on the alleged onset day but
subsequently changed age category to closely approaching advanced age.
(Id.)
8.
The claimant has at least a high school education. (Id.)
9.
Transferability of job skills is not material to the determination of
disability. (Id.)
10.
Considering the claimant’s age, education, work experience, and residual
functional capacity, there are jobs that exist in significant numbers in the
national economy that the claimant can perform. (Tr. 26.)
Based on the foregoing, the ALJ determined that Ms. Whitted had not been under a
disability, as defined in the Social Security Act, from the alleged disability onset date through the
date of the decision. (Tr. 27.)
V.
Plaintiff’s Arguments
Ms. Whitted presents two assignments of error. First, she argues that the ALJ erred in
evaluating the persuasiveness of the medical opinion of consultative examiner Natalie Whitlow,
Ph.D. (ECF Doc. 9, pp. 1, 10-13.) Second, she argues that the ALJ erred in evaluating the
mental RFC because the RFC was not supported by substantial evidence and the ALJ’s analysis
lacked a “logical bridge.” (Id. at pp. 1, 13-15.)
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VI.
A.
Law & Analysis
Standard of Review
A reviewing court must affirm the Commissioner’s conclusions absent a determination
that the Commissioner has failed to apply the correct legal standards or has made findings of fact
unsupported by substantial evidence in the record. See Blakley v. Comm’r of Soc. Sec., 581 F.3d
399, 405 (6th Cir. 2009) (“Our review of the ALJ’s decision is limited to whether the ALJ
applied the correct legal standards and whether the findings of the ALJ are supported by
substantial evidence.”).
When assessing whether there is substantial evidence to support the ALJ’s decision, the
Court may consider evidence not referenced by the ALJ. Heston v. Comm’r of Soc. Sec., 245
F.3d 528, 535 (6th Cir. 2001). “Substantial evidence is more than a scintilla of evidence but less
than a preponderance and is such relevant evidence as a reasonable mind might accept as
adequate to support a conclusion.” Besaw v. Sec’y of Health & Hum. Servs., 966 F.2d 1028, 1030
(6th Cir. 1992) (quoting Brainard v. Sec’y of Health & Human Servs., 889 F.2d 679, 681 (6th
Cir. 1989)). The Commissioner’s findings “as to any fact if supported by substantial evidence
shall be conclusive.” McClanahan v. Comm’r of Soc. Sec., 474 F.3d 830, 833 (6th Cir. 2006)
(citing 42 U.S.C. § 405(g)). “‘The substantial-evidence standard . . . presupposes that there is a
zone of choice within which the decisionmakers can go either way, without interference by the
courts.’” Blakley, 581 F.3d at 406 (quoting Mullen v. Bowen, 800 F.2d 535, 545 (6th Cir. 1986)).
Therefore, a court “may not try the case de novo, nor resolve conflicts in evidence, nor decide
questions of credibility.” Garner v. Heckler, 745 F.2d 383, 387 (6th Cir. 1984). Even if
substantial evidence supports a claimant’s position, a reviewing court cannot overturn the
16
Commissioner’s decision “so long as substantial evidence also supports the conclusion reached
by the ALJ.” Jones v. Comm’r of Soc. Sec., 336 F.3d 469, 477 (6th Cir. 2003).
Although an ALJ decision may be supported by substantial evidence, the Sixth Circuit
has explained that the “‘decision of the Commissioner will not be upheld where the SSA fails to
follow its own regulations and where that error prejudices a claimant on the merits or deprives
the claimant of a substantial right.’” Rabbers v. Comm’r Soc. Sec. Admin., 582 F.3d 647, 651
(6th Cir. 2009) (quoting Bowen v. Comm’r of Soc. Sec., 478 F.3d 742, 746 (6th Cir. 2007) (citing
Wilson v. Comm’r of Soc. Sec., 378 F.3d 541, 546-547 (6th Cir. 2004))). A decision will also not
be upheld where the Commissioner’s reasoning does not “build an accurate and logical bridge
between the evidence and the result.” Fleischer v. Astrue, 774 F. Supp. 2d 875, 877 (N.D. Ohio
2011) (quoting Sarchet v. Chater, 78 F.3d 305, 307 (7th Cir. 1996)).
B.
First Assignment of Error: The ALJ Did Not Err in Evaluating the Persuasiveness
of the Medical Opinion of Consultative Examiner Natalie Whitlow, Ph.D.
In her first assignment of error, Ms. Whitted argues that the ALJ erred in finding the
medical opinion of consultative examiner Dr. Whitlow “unpersuasive” because the ALJ’s
findings were “contradicted by [Dr. Whitlow’s] own evaluation of the claimant, the specific
limitations in [Dr. Whitlow’s] report, and the entirety of the record,” and because the ALJ failed
to address specified supportive findings from Dr. Whitlow’s report. (ECF Doc. 9, pp. 11-12.)
The Commissioner argues in response that the ALJ’s findings regarding Dr. Whitlow’s opinion
were supported by substantial evidence and adequately explained. (ECF Doc. 11, pp. 9-10.)
1.
Framework for Evaluation of Medical Opinion Evidence
The Social Security Administration’s (“SSA”) regulations for evaluating medical opinion
evidence require ALJs to evaluate the “persuasiveness” of medical opinions “using the factors
listed in paragraphs (c)(1) through (c)(5)” of the regulation. 20 C.F.R. § 404.1520c(a); see Jones
17
v. Comm’r of Soc. Sec., No. 3:19-CV-01102, 2020 WL 1703735, at *2 (N.D. Ohio Apr. 8, 2020).
The five factors to be considered are supportability, consistency, relationship with the claimant,
specialization, and other factors. 20 C.F.R. § 404.1520c(c)(1)-(5). The most important factors
are supportability and consistency. 20 C.F.R. §§ 404.1520c(a), 404.1520c(b)(2). ALJs must
explain how they considered consistency and supportability, but need not explain how they
considered the other factors. 20 C.F.R. § 404.1520c(b)(2).
2.
The ALJ Adequately Evaluated the Persuasiveness of Dr. Whitlow’s Opinion
The ALJ evaluated the persuasiveness of Dr. Whitlow’s opinion as follows:
The opinions of the consultative examiner, Natalie Whitlow, PhD, were
unpersuasive. The claimant attended the consultative examination in May of 2021
[]. Dr. Whitlow gave the claimant a poor prognosis []. She opined that the
claimant’s mental health impairments caused her to have impairments with
engaging in the many aspects of the work world related to decision-making,
impulse control, anger and behavior management, interpersonal interactions, and
complying to directives []. She opined that the claimant did not appear to have
limitations with understanding or remembering instructions; but she did have
limitations with carrying out instructions, due to her impairments, which led to
diminished levels of motivation, drive, energy, care, or a sense of greater life
purpose []. She did not appear to have limitations with maintaining attention,
concentration, and mental persistence; but she appeared to have limitations with
following through on tasks and completing tasks []. She did not appear to have
debilitating limitations interacting with others []. And she appeared to have
limitations in the area of adapting or managing oneself due to her symptoms, which
impaired her ability to engage in regular and responsible attendance, possess
adequate levels of care, drive, and motivation to present professionally,
appropriately interact with others, or to do an exemplary job at completing her work
and having adequate performance [].
The opinions of the consultative examiner were unpersuasive for multiple reasons.
As an initial matter, I note that the consultative examiner is an acceptable medical
source. Furthermore, she has knowledge and understanding of our programs,
policies, and requirements. And her opinions were based on her in-person
examination of the claimant. Additionally, the overall conclusion that the claimant
had significant mental health impairments, leading to functional limitations was
consistent with the record as a whole, including the corresponding examination,
and the claimant’s history of conservative mental health treatment throughout the
period in question, consisting of medication therapy and outpatient mental health
services []. However, the opinions of the consultative examiner were not more
persuasive because she did not articulate the claimant’s limitations within the four
18
areas of the paragraph B criteria in terms of none, mild, moderate, marked, or
extreme. Furthermore, the opinion that the claimant did not appear to have
debilitating limitations within the area of interacting with others is vague and
imprecise. While she may not have had debilitating limitations within that area, it
is unclear whether she felt that the claimant had some degree of limitation within
that area. The opinions in the other three areas of the paragraph B criteria are vague
and imprecise. She noted that the claimant had some degree of limitation within
these areas, but she failed to articulate the extent to which the claimant had
limitations within these areas. Finally, the statement that the claimant appeared to
have limitations in the area of adapting or managing oneself due to her symptoms,
which impaired her ability to engage in regular and responsible attendance was
speculative, and somewhat inconsistent with the claimant’s history of post-onset
work activities in daycare, at Amazon, and at the food pantry. Overall, the opinions
of the consultative examiner were minimally helpful in determining the claimant’s
remaining abilities in functional terms.
(Tr. 24-25 (citations omitted) (emphasis added).)
Ms. Whitted argues first that the ALJ’s findings above were “contradicted by [Dr.
Whitlow’s] own evaluation of the claimant, the specific identification of limitations in her report,
and the entirety of the record,” highlighting Dr. Whitlow ‘s observation that Ms. Whitted
“presented with significant and severe signs of depression and PTSD that were demonstrated
through her emotional fragility, her disheveled presentation, her excessive crying, her
psychomotor agitation, her fixation on telling the story of her son’s death, and her scattered
thinking and communication patterns.” (ECF Doc. 9, p. 11 (citing Tr. 503).)
In fact, the ALJ acknowledged Dr. Whitlow’s opinion that Ms. Whitted had “significant
mental impairments” that caused her “functional limitations,” and found Dr. Whitlow’s “overall
conclusions” to be consistent with Dr. Whitlow’s examination findings and Ms. Whitted’s
history of conservative mental health treatment. (Tr. 24-25.) The ALJ had previously discussed 3
Dr. Whitlow’s clinical examination findings in the Step Three analysis, in support of his finding
An ALJ may rely on previously articulated information to support his opinion analysis. Crum v. Comm’r of Soc.
Sec., 660 F. App’x 449, 457 (6th Cir. 2016) (citing Forrest v. Comm’r of Soc. Sec., 591 F. App’x 359, 366 (6th Cir.
2014)); Bledsoe v. Barnhart, 165 F. App’x 408, 411 (6th Cir. 2006).
3
19
that Ms. Whitted had moderate limitations in all four categories of mental functioning. (Tr. 1415.) Specifically, the ALJ highlighted Dr. Whitlow’s observations that Ms. Whitted: had a
disheveled appearance but appropriate eye contact; demonstrated psychomotor agitation but
appeared alert and attentive; and had thought processes fixated on her trauma, but also had
coherent communication and normal speech. (Id.) Considering those findings, the ALJ adopted
a mental RFC that limited Ms. Whitted to the performance of simple routine tasks with no high
production quotas or piece rate work and superficial, occasional interactions. (Tr. 16.)
But the ALJ explained that Dr. Whitlow’s opinion was “not more persuasive” because the
functional limitations Dr. Whitlow described were “vague and imprecise” as to the degree of
limitation—e.g., none, mild, moderate, marked, or extreme. (Tr. 24.) Consistent with the ALJ’s
observations, Dr. Whitlow’s written assessment of the four domains of mental functioning
simply states that Ms. Whitted “does not appear to have limitations,” “appears to have
limitations,” or “does not appear to have debilitating limitations” with respect to various
activities. (Tr. 508.) The ALJ found this vague language to be “minimally helpful in
determining [Ms. Whitted]’s remaining abilities in functional terms” (Tr. 25), having already
explained that Dr. Whitlow “failed to articulate clearly, in functional terms, the extent of, and the
degree to which the claimant had limitations from her impairments” (Tr. 21).
As to Dr. Whitlow’s opinion that Ms. Whitted had “symptoms that impair her ability to
engage in regular and responsible attendance” at work, the ALJ also found the opinion to be
“speculative” and “somewhat inconsistent” with evidence suggestive of post-onset work. (Tr.
24.) The ALJ had previously discussed the evidence regarding post-onset work as follows:
Despite the claimant’s allegations of disabling symptoms associated with her
multiple impairments since March of 2020, the claimant’s treatment notes
documented post-onset work activities, and efforts to engage in post-onset work
activities. In treatment notes with Dr. Rainey from June of 2020, it was noted that
20
the claimant worked at a daycare for six kids []. Perhaps this entry was merely a
reference to historic work activities, and not an indication of the claimant’s work
activities in June of 2020. However, there were also treatment notes from June of
2020, indicating that the claimant was working at Amazon []. And in treatment
notes from December of 2020, the claimant reported that she was in the midst of
getting her house ready to start holding daycare services out of her home []. And in
March of 2021, she reported that she was caring for at least one child []. And in
subsequent treatment notes from September of 2021, the claimant indicated that she
had been providing daycare to four kids but had to stop due to pain symptoms [].
However, in April of 2022, she reported that she was working as a service
coordinator at a food pantry []. And in May of 2022, she reported that her job at the
food pantry had been going well until she took time off to care for her son, and
when she went back to work, she found that they had changed the pantry around,
leading to her quitting []. It is noteworthy that the claimant’s post-onset work
activities are not reflected in her earnings records. Regardless, the claimant’s postonset work activities were somewhat inconsistent with her allegations of disabling
symptoms during the same period.
(Tr. 22 (citations omitted).)
Thus, the ALJ considered Dr. Whitlow’s clinical findings and Ms. Whitted’s treatment
records, and found they supported moderate limitations in all functional domains and the specific
mental limitations articulated in the RFC, but otherwise found: Dr. Whitlow’s “vague and
imprecise” opinions regarding functional limitations were unpersuasive because they failed to
clearly articulate the degree of limitation; and her opinion regarding likely attendance at work
was both speculative and somewhat inconsistent with evidence of post-onset work activity. The
Court finds the ALJ’s analysis was consistent with Dr. Whitlow’s report and the record.
Ms. Whitted also argues that the ALJ erred in his analysis of Dr. Whitlow’s opinion
because his assessment “failed to include the following important finding[s] of Dr. Whitlow”:
(1)
Ms. Whitted’s thought processes interfere with her cognitive functioning;
(2)
judgment is poor (impacting behavior, thought processes, and decisionmaking) that debilitate her functioning;
(3)
prognosis is poor;
(4)
presentation is emotionally fragile and unstable; and
21
(5)
mental health symptoms cause her impairments with engaging in many
aspects of the work world, related to decision-making, impulse control,
anger and behavior management, interpersonal interactions, and complying
with directives.
(ECF Doc. 9, p. 12 (citing Tr. 504-07).) But the ALJ did acknowledge Dr. Whitlow’s findings
that Ms. Whitted had a “poor prognosis,” and that her mental health impairments “caused her to
have impairments with engaging in the many aspects of the work world related to decisionmaking, impulse control, anger and behavior management, interpersonal interactions, and
complying with directives.” (Tr. 24 (citing Tr. 506, 507).) He also considered many of Dr.
Whitlow’s clinical findings, including: disheveled appearance with appropriate eye contact;
psychomotor agitation with an alert and attentive appearance; and thought processes fixated on
trauma, but with coherent communication and normal speech. (Tr. 14-15.) In this context,
consistent with analysis above, the Court finds the ALJ adequately explained his reasons for
finding Dr. Whitlow’s discussion of limitations and impairments to be “minimally helpful in
determining the claimant’s remaining abilities in functional terms.” (Tr. 25.)
The fact that the ALJ did not specifically discuss all of the evidence identified in Ms.
Whitted’s brief does not impact this analysis. While an ALJ must address the persuasiveness of
all medical opinions, see 20 C.F.R. § 404.1520c(a), he need not specifically discuss all medical
evidence in the record, see Boseley v. Comm’r of Soc. Sec. Admin., 397 F. App’x 195, 199 (6th
Cir. 2010) (an ALJ is not “required to discuss each piece of data in his opinion, so long as he
consider[ed] the evidence as a whole and reach[ed] a reasoned conclusion”) (citing Kornecky v.
Comm'r of Soc. Sec., 167 F. App’x 496, 507-08 (6th Cir. 2006)).
Although the ALJ did not discuss Dr. Whitlow’s opinion that Ms. Whitted’s thought
processes interfered with cognitive functioning, he did acknowledge observations that her
thought processes were fixated on her trauma and Dr. Whitlow’s opinion that she had limitations
22
in carrying out instructions and following through and completing tasks; the ALJ then found Ms.
Whitted had moderate limitations in understanding, remembering, and applying information and
in concentrating, persisting, and maintaining pace (Tr. 14) and adopted RFC limitations for both
areas of functioning (Tr. 16) despite treatment records showing normal memory and sufficient
cognitive functioning, and other medical opinions indicating that Ms. Whitted had no more than
mild limitations in understanding, remembering, and applying information (Tr. 14).
Similarly, while the ALJ did not cite Dr. Whitlow’s findings regarding Ms. Whitted’s
poor judgment and emotionally fragile and unstable presentation, he did acknowledge her
disheveled appearance at the consultative examination and variable moods and behavior during
treatment visits; the ALJ then found Ms. Whitted had moderate limitations in interacting with
others and adapting and managing herself (Tr. 14-15) and adopted RFC limitations for both areas
of functioning (Tr. 16) despite Ms. Whitted’s appropriate eye contact at the consultative
examination, treatment records showing normal moods and behavior, and medical opinions
indicating she had no more than mild limitations in interacting with others (Tr. 14-15).
For the reasons set forth above, the Court finds that Ms. Whitted has not met her burden
to show that the ALJ erred in finding Dr. Whitlow’s medical opinion to be unpersuasive. The
ALJ appropriately considered the underlying evidence and sufficiently explained his reasons for
finding the opinion unpersuasive; and his stated reasons were supported by substantial evidence.
Accordingly, the Court finds Ms. Whitted’s first assignment of error is without merit.
C.
Second Assignment of Error: The Mental RFC Analysis Was Supported by
Substantial Evidence and Did Not Lack a Logical Bridge
Ms. Whitted offers three separate arguments in support of her second assignment of error,
all of which challenge the ALJ’s mental RFC finding and analysis. For the reasons set forth
below, the Court finds all three of the arguments lack merit.
23
A claimant’s RFC “is the most [he] can still do despite [his] limitations.” 20 C.F.R. §
404.1545(a)(1). An ALJ is charged with assessing a claimant’s RFC “based on all the relevant
evidence in [the] case record.” Id.; see also 20 C.F.R. § 404.1546(c) (“If your case is at the
administrative law judge hearing level . . ., the administrative law judge . . . is responsible for
assessing your residual functional capacity.”); Poe v. Comm’r of Soc. Sec., 342 F. App’x 149,
157 (6th Cir. 2009) (“The responsibility for determining a claimant’s residual functional capacity
rests with the ALJ, not a physician.”).
Here, the ALJ concluded that Ms. Whitted had the following mental RFC:
. . . to perform medium work . . . except: . . . . She can do no complex tasks but can
do simple (routine) tasks which I define to mean this person has the basic mental
aptitude to meet the demands of competitive, remunerative, unskilled work
including the abilities to, on a sustained basis, understand, carry out, and remember
simple instructions. She can do detailed, but not complex tasks. She can make
simple work-related decisions. She can respond appropriately to supervision,
coworkers, and usual work situations; and can deal with changes in routine work
settings. She can focus attention on simple or routine work activities for at least 2
hours at a time and can stay on task at a sustained rate such as initiating and perform
a task that they understand and know how to do. She can work at an appropriate
and consistent pace and can complete tasks in a timely manner. She can ignore or
avoid distractions while working; can change activities or work settings without
being disruptive. She can do no high production quotas or piece rate work. And she
can have superficial, occasional interactions with public, co-workers meaning
limited to speaking, signaling, taking instructions, asking questions and similar
contact but with no arbitration, negotiation, confrontation, supervision, or
commercial driving.
(Tr. 15-16.)
Ms. Whitted argues first that the ALJ “lack[ed] a logical bridge” when he found Dr.
Whitlow’s medical opinion was “unpersuasive,” despite finding the state agency consultant
opinions “somewhat persuasive”; she argues this is inconsistent because the state agency
consultants found Dr. Whitlow’s opinion “supported and consistent.” (ECF Doc. 9, p. 13 (citing
Tr. 62, 80).) This argument lacks merit for multiple reasons.
24
As an initial matter, there is no automatic conflict between finding a state agency opinion
“somewhat persuasive” and declining to adopt the state agency doctor’s specific findings as to
another medical opinion, since “there is no requirement that an ALJ adopt a state agency
psychologist’s opinions verbatim[.]” Reeves v. Comm’r of Soc. Sec., 618 F. App’x 267, 275 (6th
Cir. 2015). The ALJ provided a clear analysis to support his finding that the state agency
opinions were “only somewhat persuasive” (Tr. 23) and had no obligation to adopt those
doctors’ findings regarding Dr. Whitlow’s opinion.
Further, this Court sees no clear conflict between the state agency consultants’ cursory
findings regarding Dr. Whitlow’s opinion—specifically, that her findings of certain “limitations”
(of unspecified degree) were “supported and consistent with the narrative” (Tr. 62, 80)—and the
ALJ’s similar finding that Dr. Whitlow’s “overall conclusion that the claimant had significant
mental health impairments leading to functional limitations was consistent with the record as a
whole” (Tr. 24). The ALJ’s further finding that Dr. Whitlow’s “vague and imprecise” statements
regarding functional limitations were “minimally helpful in determining the claimant’s
remaining abilities in functional terms” (Tr. 24-25) simply provides additional analysis beyond
that addressed by the state agency consultants. Plaintiff has failed to show that the ALJ’s
analysis did not build a logical bridge between the evidence and the result.
Ms. Whitted argues second that the ALJ erred because he formulated the mental RFC
“without finding any medical provider’s opinion persuasive,” asserting that “[t]he basis for the
ALJ’s RFC cannot be determined if no medical provider’s opinion is considered persuasive.”
(ECF Doc. 9, p. 14.) This assertion is contrary to Sixth Circuit law.
An ALJ must determine the RFC based on the relevant evidence in the record, including
medical opinion evidence. See 20 C.F.R. §§ 404.1545(a)(1), 404.1546(c); Poe, 342 F. App’x at
25
157. But an ALJ is “not required to recite the medical opinion of a physician verbatim in his
residual functional capacity finding.” Poe, 342 F. App’x at 157. In fact, the Sixth Circuit has
“rejected the argument that a residual functional capacity determination cannot be supported by
substantial evidence unless a physician offers an opinion consistent with that of the ALJ.” See
Mokbel-Aljahmi v. Comm’r of Soc. Sec., 732 F. App’x 395, 401 (6th Cir. 2018) (citing Shepard
v. Comm’r of Soc. Sec., 705 F. App’x 435, 442–43 (6th Cir. 2017); Rudd v. Comm’r of Soc. Sec.,
531 F. App’x 719, 728 (6th Cir. 2013)).
The Sixth Circuit has explained that requiring an ALJ to base his RFC on a medical
opinion could confer on the relevant medical provider “the authority to make the determination
or decision about whether an individual is under a disability,” which “would be an abdication of
the Commissioner’s statutory responsibility to determine whether an individual is disabled.”
Rudd, 531 F. App’x at 728 (internal quotation and citation omitted); see also Livingston v.
Comm’r of Soc. Sec., 776 F. App’x 897, 901 (6th Cir. 2019) (“To the extent that Livingston’s
‘lay opinion’ critique reflects discomfort with the ALJ’s evaluating functional capabilities at all,
that, of course, is precisely the ALJ’s role.”) (internal citation omitted); Poe, 342 F. App’x at 157
(finding “an ALJ does not improperly assume the role of a medical expert by assessing the
medical and non-medical evidence before rendering a residual functional capacity finding”). Ms.
Whitted’s argument that the ALJ “exceeded his role” by determining her RFC without finding a
specific medical opinion “persuasive” must therefore fail.
Finally, Ms. Whitted argues that the ALJ “cherry-pick[ed]” the evidence, relying only on
“evidence that resulted in a less restrictive RFC,” and “failed to fully consider the issue of
sustainability.” (ECF Doc. 9, p. 14.) In support, she highlights the limitations she reported to
her providers and asserts that the ALJ erred by giving “minimal consideration” to Dr. Whitlow’s
26
opinion and by dismissing the work-related limitations arising from her mental impairments. (Id.
at pp. 14-15.) The Commissioner asserts that this argument “is nothing more than a thinly
disguised request for the Court to reweigh the evidence.” (ECF Doc. 11, p. 12.)
An ALJ may not cherry pick facts to support a finding of non-disability while ignoring
evidence that points to a disability finding. See, e.g., Gentry v. Comm’r of Soc. Sec., 741 F.3d
708, 724 (6th Cir. 2014); Minor v. Comm’r of Soc. Sec., 513 F. App’x 417, 435 (6th Cir. 2013).
However, “an ALJ does not ‘cherry pick’ the evidence merely by resolving some inconsistencies
unfavorably to a claimant’s position.” Solembrino v. Astrue, No. 1:10-CV-01017, 2011 WL
2115872, at *8 (N.D. Ohio May 27, 2011). Indeed, arguments that an ALJ has cherry picked
evidence are “seldom successful because crediting it would require a court to re-weigh record
evidence.” DeLong v. Comm’r of Soc. Sec. Admin., 748 F.3d 723, 726 (6th Cir. 2014) (citing
White v. Comm’r of Soc. Sec., 572 F.3d 272, 284 (6th Cir. 2009)).
Here, the ALJ considered—and discussed in some detail—the following evidence in
support of his mental RFC findings: Ms. Whitted’s subjective complaints to SSA (Tr. 14-15, 20);
clinical findings and medical opinions from her consultative examination (Tr. 14-15, 21, 24-25);
subjective complaints, clinical findings, and treatment modalities from her treatment records (Tr.
14-15, 18-22); state agency medical opinions (Tr. 14-15, 23-24); the lack of opinion evidence
supporting greater RFC limitations (Tr. 21); the conservative nature of her treatment (Tr. 21-22);
evidence of treatment noncompliance (Tr. 22); and evidence suggestive of efforts to engage in
post-onset work activities (Tr. 22-23).
In arguing that the ALJ’s RFC analysis is inadequate, Ms. Whitted points to evidence that
she complained to providers and the consultative examiner about functional limitations caused
by her mental impairments, like feeling overwhelmed, not attending to activities of daily living
27
or attending appointments, struggling to interact, and isolating at home (ECF Doc. 9, p. 14
(citing Tr. 317, 328, 329, 355, 369-70, 504, 873), noting that related limitations were articulated
in Dr. Whitlow’s medical opinion (id. (citing Tr. 508)). To the extent this argument is intended
to rearticulate Ms. Whitted’s arguments from the first assignment of error, the Court will not
revisit the findings made in Section VI.B., supra.
To the extent Ms. Whitted is making a broader argument that the ALJ failed to consider
specific evidence in his RFC analysis—i.e., evidence of Ms. Whitted’s subjective complaints
regarding her functional limitations—that argument is not supported by the record. The ALJ’s
written decision reflects that he considered Ms. Whitted’s subjective complaints of difficulty
remembering, unhealthy social and interpersonal functioning, panic attacks around others, desire
not to be bothered by others, difficulty working due to panic attacks, difficulty completing workrelated tasks, and scattered thinking and communication patterns (Tr. 14-15), but considered
those complaints in the context of her clinical findings, conservative treatment history, treatment
noncompliance, post-onset work activities, and the medical opinions (Tr. 14-15, 18-25) before
adopting a mental RFC that specifically took Ms. Whitted’s subjective complaints into account
(Tr. 16, 20). Ms. Whitted has not met her burden to show that the ALJ cherry-picked evidence
or otherwise lacked substantial evidence to support the mental RFC limitations.
“‘The substantial-evidence standard . . . presupposes that there is a zone of choice within
which the decisionmakers can go either way, without interference by the courts.’” Blakley, 581
F.3d at 406. That means, even if there is substantial evidence to support additional mental RFC
limitations, this Court cannot overturn the ALJ’s mental RFC findings “so long as substantial
evidence also supports the conclusion reached by the ALJ.” Jones, 336 F.3d at 477.
28
For the reasons set forth above, the Court finds the ALJ did not fail to build a logical
bridge, overstep his role, or cherry pick evidence when assessing Ms. Whitted’s mental RFC.
The Court further finds that the ALJ’s mental RFC was supported by substantial evidence.
Accordingly, the Court finds Ms. Whitted’s second assignment of error is without merit.
VII.
Conclusion
For the foregoing reasons, the Court AFFIRMS the Commissioner’s decision.
March 12, 2025
/s/Amanda M. Knapp
AMANDA M. KNAPP
United States Magistrate Judge
29
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