“Through step four of this analysis, the claimant has the burden of showing that she is disabled.”
How later courts described this case
- “Through step four of this analysis, the claimant has the burden of showing that she is disabled.”
- “The burden of persuasion to prove disability and to demonstrate RFC remains on the claimant, even when the burden of production shifts to the Commissioner at step five.”
- “Each step in the disability determination entails a separate analysis and legal standard.”
- providing that in considering the opinions of a medical source that is not an “acceptable medical source,” an “ALJ has more discretion and is permitted to consider any inconsistencies found within the record.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MISSOURI
EASTERN DIVISION
)
JEFFREY TODD BROWN, )
)
Plaintiff, )
)
v. ) Case No. 4:19-CV-01564-NCC
)
ANDREW M. SAUL,1 )
Commissioner of Social Security )
)
Defendant. )
MEMORANDUM AND ORDER
This is an action under Title 42 U.S.C. § 405(g) for judicial review of the final decision
of the Commissioner denying the application of Jeffrey Todd Brown (“Plaintiff”) for Disability
Insurance Benefits (“DIB”) and Supplemental Security Income (“SSI”) under Titles II and XVI
of the Social Security Act, 42 U.S.C. §§ 401, et seq. and 42 U.S.C. §§ 1381, et seq. Plaintiff has
filed a brief in support of the Complaint (Doc. 18) and Defendant has filed a brief in support of
the Answer (Doc. 19). The parties have consented to the jurisdiction of the undersigned United
States Magistrate Judge pursuant to Title 28 U.S.C. § 636(c) (Doc. 9).
I. PROCEDURAL HISTORY
Plaintiff filed his applications for DIB and SSI on June 13, 2016 and June 14, 2016,
respectively (Tr. 163-73). Plaintiff was initially denied on August 31, 2016, and he filed a
Request for Hearing before an Administrative Law Judge (“ALJ”) (Tr. 98-106). After a hearing,
1 Andrew M. Saul is now the Commissioner of Social Security. Pursuant to Rule 25(d) of the
Federal Rules of Civil Procedure, Andrew M. Saul shall be substituted for Acting Commissioner
Nancy A. Berryhill 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).
by decision dated August 29, 2018, the ALJ found Plaintiff not disabled (Tr. 9-25). On May 6,
2019, the Appeals Council denied Plaintiff’s request for review (Tr. 2-6). As such, the ALJ’s
decision stands as the final decision of the Commissioner.
II. DECISION OF THE ALJ
The ALJ determined that Plaintiff meets the insured status requirements of the Social
Security Act through December 31, 2022 (Tr. 14). The ALJ found Plaintiff engaged in
substantial gainful activity during the following periods: 2007, 2008, 2009, 2010, 2011, and the
fourth quarter of 2017 but that there has been a continuous 12-month period(s) during which the
Plaintiff did not engage in substantial gainful activity (Tr. 14-15). The ALJ determined Plaintiff
has the severe impairments of anxiety, attention deficit hyperactivity disorder, depression, and
learning disorder, but that no impairment or combination of impairments met or medically
equaled the severity of one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix
1 (Tr. 15). After considering the entire record, the ALJ found Plaintiff has the residual
functional capacity (“RFC”) to perform a full range of work at all exertional levels with the
following non-exertional limitations (Tr. 17). Plaintiff is limited to simple, routine tasks (Id.).
Plaintiff can have only frequent, superficial interaction with coworkers, and only occasional
interactions with the public (Id.). Plaintiff cannot perform tandem tasks (Id.). The ALJ
determined that Plaintiff is capable of performing past relevant work as a store laborer and hand
packer (Tr. 20). Thus, the ALJ concluded that Plaintiff has not been under a disability from June
25, 2006, through the date of the decision (Id.).
III. LEGAL STANDARD
Under the Social Security Act, the Commissioner has established a five-step process for
determining whether a person is disabled. 20 C.F.R. §§ 416.920, 404.1529. “If a claimant fails
to meet the criteria at any step in the evaluation of disability, the process ends and the claimant is
determined to be not disabled.” Goff v. Barnhart, 421 F.3d 785, 790 (8th Cir. 2005) (quoting
Eichelberger v. Barnhart, 390 F.3d 584, 590-91 (8th Cir. 2004)). In this sequential analysis, the
claimant first cannot be engaged in “substantial gainful activity” to qualify for disability benefits.
20 C.F.R. §§ 416.920(b), 404.1520(b). Second, the claimant must have a severe impairment. 20
C.F.R. §§ 416.920(c), 404.1520(c). The Social Security Act defines “severe impairment” as
“any impairment or combination of impairments which significantly limits [claimant’s] physical
or mental ability to do basic work activities. . . .” Id. “‘The sequential evaluation process may
be terminated at step two only when the claimant’s impairment or combination of impairments
would have no more than a minimal impact on [his or] her ability to work.’” Page v. Astrue, 484
F.3d 1040, 1043 (8th Cir. 2007) (quoting Caviness v. Massanari, 250 F.3d 603, 605 (8th Cir.
2001), citing Nguyen v. Chater, 75 F.3d 429, 430-31 (8th Cir. 1996)).
Third, the ALJ must determine whether the claimant has an impairment which meets or
equals one of the impairments listed in the Regulations. 20 C.F.R. §§ 416.920(d), 404.1520(d).
If the claimant has one of, or the medical equivalent of, these impairments, then the claimant is
per se disabled without consideration of the claimant’s age, education, or work history. Id.
Fourth, the impairment must prevent the claimant from doing past relevant work. 20
C.F.R. §§ 416.920(f), 404.1520(f). The burden rests with the claimant at this fourth step to
establish his or her RFC. Steed v. Astrue, 524 F.3d 872, 874 n.3 (8th Cir. 2008) (“Through step
four of this analysis, the claimant has the burden of showing that she is disabled.”). The ALJ
will review a claimant’s RFC and the physical and mental demands of the work the claimant has
done in the past. 20 C.F.R. § 404.1520(f).
Fifth, the severe impairment must prevent the claimant from doing any other work. 20
C.F.R. §§ 416.920(g), 404.1520(g). At this fifth step of the sequential analysis, the
Commissioner has the burden of production to show evidence of other jobs in the national
economy that can be performed by a person with the claimant’s RFC. Steed, 524 F.3d at 874
n.3. If the claimant meets these standards, the ALJ will find the claimant to be disabled. “The
ultimate burden of persuasion to prove disability, however, remains with the claimant.” Young v.
Apfel, 221 F.3d 1065, 1069 n.5 (8th Cir. 2000). See also Harris v. Barnhart, 356 F.3d 926, 931
n.2 (8th Cir. 2004) (citing 68 Fed. Reg. 51153, 51155 (Aug. 26, 2003)); Stormo v. Barnhart, 377
F.3d 801, 806 (8th Cir. 2004) (“The burden of persuasion to prove disability and to demonstrate
RFC remains on the claimant, even when the burden of production shifts to the Commissioner at
step five.”). Even if a court finds that there is a preponderance of the evidence against the ALJ’s
decision, the decision must be affirmed if it is supported by substantial evidence. Clark v.
Heckler, 733 F.2d 65, 68 (8th Cir. 1984). “Substantial evidence is less than a preponderance but
is enough that a reasonable mind would find it adequate to support the Commissioner’s
conclusion.” Krogmeier v. Barnhart, 294 F.3d 1019, 1022 (8th Cir. 2002). See also Cox v.
Astrue, 495 F.3d 614, 617 (8th Cir. 2007).
It is not the job of the district court to re-weigh the evidence or review the factual record
de novo. Id. Instead, the district court must simply determine whether the quantity and quality
of evidence is enough so that a reasonable mind might find it adequate to support the ALJ’s
conclusion. Davis v. Apfel, 239 F.3d 962, 966 (8th Cir. 2001) (citing McKinney v. Apfel, 228
F.3d 860, 863 (8th Cir. 2000)). Weighing the evidence is a function of the ALJ, who is the fact-
finder. Masterson v. Barnhart, 363 F.3d 731, 736 (8th Cir. 2004). Thus, an administrative
decision which is supported by substantial evidence is not subject to reversal merely because
substantial evidence may also support an opposite conclusion or because the reviewing court
would have decided differently. Krogmeier, 294 F.3d at 1022.
IV. DISCUSSION
In his appeal of the Commissioner’s decision, Plaintiff raises three issues regarding the
ALJ’s RFC evaluation. First, Plaintiff asserts that the ALJ failed to properly evaluate RFC when
she did not provide any limitation regarding Plaintiff’s ability to interact with supervisors (Doc.
18 at 3-6). Second, Plaintiff argues that the ALJ failed to properly weigh the opinion of Dr. J.
Edd Bucklew, Ph.D. (Id. at 3-6). Third, Plaintiff asserts that the ALJ failed to properly consider
the Third Party Function report of Susan Clones (Id. at 6-7). For the following reasons, the
Court finds that Plaintiff’s arguments are without merit, and that the ALJ’s decision is based on
substantial evidence and is consistent with the Regulations and case law.
A. Interaction with Supervisors
First, Plaintiff asserts that the ALJ failed to properly evaluate RFC when she did not
provide any limitation regarding Plaintiff’s ability to interact with supervisors (Doc. 18 at 3-6).
Specifically, Plaintiff argues that while the ALJ found Plaintiff has a moderate limitation in his
ability to interact with others at step 3 and found Plaintiff limited to only frequent, superficial
interaction with coworkers and only occasional interaction with the public, the ALJ erred when
she did not limit Plaintiff’s ability to interact with supervisors in her RFC determination at step 4
(Id. at 3).
At step 3, the ALJ evaluates whether the claimant has an impairment which meets or
equals one of the impairments listed in the Regulations. 20 C.F.R. §§ 416.920(d), 404.1520(d).
If the claimant has one of, or the medical equivalent of, these impairments, then the claimant is
per se disabled without consideration of the claimant’s age, education, or work history. Id. If
the ALJ does not find that the claimant meets a listing, then the ALJ’s analysis continues to Step
4. 20 C.F.R. § 416.920. At Step 4, the ALJ determines claimant’s RFC and thus whether a
claimant is prevented from doing his past relevant work. 20 C.F.R. §§ 416.920(f), 404.1520(f).
RFC is the most a claimant can still do in a work setting despite that claimant’s physical
or mental limitations. Martise v. Astrue, 641 F.3d 909, 923 (8th Cir. 2011) (citation omitted); 20
C.F.R. § 416.945(a)(1). An ALJ determines a claimant’s RFC “based on all the relevant
evidence, including medical records, observations of treating physicians and others, and
[claimant’s] own description of [his] limitations.” Page, 484 F.3d at 1043 (quoting Anderson v.
Shalala, 51 F.3d 777, 779 (8th Cir. 1995)). Although the ALJ bears the primary responsibility
for assessing a claimant’s residual functional capacity based on all relevant evidence, “a
claimant’s residual functional capacity is a medical question.” Lauer v. Apfel, 245 F.3d 700, 704
(8th Cir. 2001) (quoting Singh v. Apfel, 222 F.3d 448, 451 (8th Cir. 2000)). See also Hutsell v.
Massanari, 259 F.3d 707, 712 (8th Cir. 2001). “Because a claimant’s RFC is a medical question,
an ALJ’s assessment of it must be supported by some medical evidence of the claimant’s ability
to function in the workplace.” Hensley v. Colvin, 829 F.3d 926, 932 (8th Cir. 2016) (quoting
Cox, 495 F.3d at 619). “An administrative law judge may not draw upon his own inferences
from medical reports.” Nevland v. Apfel, 204 F.3d 853, 858 (8th Cir. 2000).
The Court finds the ALJ’s RFC determination as to Plaintiff’s ability to interact with
others to be supported by substantial evidence and that the ALJ’s analysis at steps 3 and 4 are not
inconsistent. In this case, at step 3 the ALJ determined that Plaintiff does not have an
impairment or combination of impairments that meets or medically equals the severity of one of
the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1 (Tr. 15). In so doing, the
ALJ considered the paragraph B criteria of listings 12.02, 12.04, 12.05, and 12.06 and found
Plaintiff has moderate limitation in the area of interreacting with others (Tr. 15-16). As support
for her finding, the ALJ indicated Plaintiff “is currently working and has no problems getting
along with other workers or supervisors” (Tr. 16, 31-32). The ALJ further noted that Plaintiff
“was cooperative during appointments, but was also mildly condescending;” Plaintiff “struggled
with conversations during his autism assessment, and had difficulty responding to his
conversational partner’s interests;” and Plaintiff “exhibited fair eye contact” (Id.). In her RFC
determination at step 4, the ALJ limited Plaintiff to “only frequent, superficial interaction with
coworkers [] and only occasional interaction with the public” (Tr. 17). The RFC determination
does not include any limitation regarding Plaintiff’s interaction with supervisors.
As a preliminary matter, the determinations at steps 3 and 4 are distinct. “[T]he different
steps serve distinct purposes, the degrees of precision required at each step differ, and our
deferential standard of review precludes us from labeling findings as inconsistent if they can be
harmonized.” Chismarich v. Berryhill, 888 F.3d 978, 980 (8th Cir. 2018). See also Lacroix v.
Barnhart, 465 F.3d 881, 883 n.3 (8th Cir. 2006) (“Each step in the disability determination
entails a separate analysis and legal standard.”). Plaintiff, relying on the opinion of Dr. J. Edd
Bucklew, Ph.D., argues that Plaintiff needs to avoid more complicated or stressful social
relationships and that a relationship with a supervisor is more complicated and more likely to
cause Plaintiff to become dependent on others (Doc. 18 at 4). However, as addressed in more
detail below, the ALJ properly considered the opinion of Dr. Bucklew. Further, the ALJ
explicitly addressed Plaintiff’s ability to interact with supervisors, stating, Plaintiff “is currently
working and has no problems getting along with other workers or supervisors” (Tr. 16). Later,
during her RFC evaluation of Plaintiff, the ALJ indicated that her RFC assessment accounts for
the Plaintiff’s severe mental impairments by limiting him to simple, routine work, with
additional limitations on social interaction (Tr. 19). In doing so, the ALJ conducted a detailed
analysis of the limited mental health record and highlighted areas regarding interaction with
others including Plaintiff’s tendency “of having relationships with people who enable him by
giving him money and performing tasks for him that he is able to complete himself” (Tr. 18).
The ALJ also indicated that Plaintiff was working almost 30 hours a week and reported doing
well with holding down jobs (Id.). As noted by the ALJ, Plaintiff testified that he was currently
working, acknowledged that he had no trouble following instructions or following through with
assignments, and has no problems with his coworkers or employer (Tr. 17, 31-32, 40-41, 43).
Plaintiff also self-reported on his Function Report that he gets along “ok” with authority figures
“if I’m not disturbed by demanding or sarcastic gestures” (Tr. 283). Indeed, Plaintiff’s employer
reported that Plaintiff required very little supervision and that he understands when one job is
complete and moves on to the next without needing to be told (Tr. 318). The employer further
reported that Plaintiff required no special considerations, he completes jobs on time, and is on
time to work as scheduled (Tr. 319). Therefore, the ALJ’s determinations at steps 3 and 4 are
not inconsistent and are supported by substantial evidence.
B. Opinion of Dr. J. Edd Bucklew, Ph.D.
Second, Plaintiff argues that the ALJ failed to properly weigh the opinion of Dr J. Edd
Bucklew, Ph.D. (“Dr. Bucklew”) (Doc. 18 at 3-6). Plaintiff asserts that the ALJ erred in not
explaining why she did not credit Dr. Bucklew’s opinions regarding Plaintiff’s ability to interact
appropriately with others and ability to maintain attention and concentration for extended periods
(Id. at 4-5).
On August 30, 2016, Dr. Bucklew, a state agency psychological consultant, issued Case
Analyses and Mental Residual Functional Capacity Assessments in conjunction with the
Disability Determination Explanations for both Plaintiff’s SSI claim and DIB claim (Tr. 77-81,
90-95). In the Case Analyses, Dr. Bucklew indicated, when addressing the paragraph B criteria
of the mental health listings, that Plaintiff has mild restriction of activities of daily living,
moderate difficulties in maintaining social functioning, moderate difficulties in maintaining
concentration, persistence or pace, and one or two repeated episodes of decompensation (Tr. 78,
91). Dr. Bucklew detailed the medical record at the time of the analysis, noting specifically that
one physician found to be him “capable of managing his own affairs to a considerably greater
extent, but that he had enabling relationships with others allowing him to depend on them for
financial support and for doing simple tasks for him that he was capable of doing for himself”
(Tr. 78, 91). Dr. Bucklew further noted that, at the time of analysis, that Plaintiff had worked for
several years at the job he then occupied “citing no limitation [and] no need for special support”
and that he had been offered full time work but was not interested in increasing hours (Tr. 78, 91,
373). Dr. Bucklew’s RFC Assessments found Plaintiff “not significantly limited” in most areas
except that Plaintiff is “moderately limited” in following areas: the ability to carry out detailed
instructions; the ability to work in coordination with or in proximity to others without being
distracted by them; the ability to interreact appropriately with the general public; the ability to
respond appropriately to changes in the work setting; and the ability to set realistic goals or make
plans independently of others (Tr. 79-81, 92-95). Dr. Bucklew concluded that Plaintiff would be
able to maintain employment but that “[h]e may need to avoid more complicated or stressful
social relationships due to dependent behavior noted throughout the record” (Tr. 78, 91).
The ALJ properly afforded the opinion of Dr. Bucklew “some weight” (Tr. 19). In doing
so, the ALJ found Dr. Bucklew’s opinion to be “generally consistent with the medical evidence
of record” (Tr. 19). Specifically, as noted by the ALJ, the limited record is replete with generally
normal mental health exams finding Plaintiff generally alert and oriented, normal mood affect,
appropriate behavior, average intellectual functioning, and fair insight (Tr. 19, 216-18, 361, 363,
369, 370, 372-73, 376, 377, 382, 388, 401, 412-13, 430-31). For example, one of his treating
physicians indicated that it was his opinion that Plaintiff’s issues with concentration have been
present since childhood and are likely related to his learning disorder (Tr. 374). However, as the
physician noted, Plaintiff “reports he has functioned well with full-time and part-time jobs and
has a significant and impressive work history. He is excelling in his current job working 30-40
hours a week and has had a fantastic review after 1 year of work” (Id.). The ALJ further
indicated that Plaintiff had issues with social interaction during his autism assessment and that he
was diagnosed with a learning disability (Tr. 19, 278, 368, 397, 422-27). Indeed, Dr. Bucklew’s
assessment accounted for some moderate limitations in the area of social interaction but, as also
noted by the ALJ, considered Plaintiff’s work experience (Tr. 19, 80-81, 93-94). The ALJ was
permitted to rely upon the opinion of the non-examining medical expert to the extent it was
consistent with other reliable evidence. Tuggle v. Comm’r of Soc. Sec. Admin., No. 2:18-CV-
04107-NKL, 2019 WL 1980702, at *3 (W.D. Mo. May 3, 2019) (citing Turpin v. Colvin, 750
F.3d 989, 993-4 (8th Cir. 2014)).
Furthermore, to the extent Plaintiff asserts that the ALJ’s decision is not supported by
substantial evidence because the ALJ failed to properly include several of the limitations found
by Dr. Bucklew in her RFC determination and these same limitations were not included in the
ALJ’s hypothetical before the vocational expert, the ALJ is not required to include every
limitation identified in a medical opinion in her RFC determination and she is only required to
include those limitations she finds credible in her hypothetical to the vocational expert. Martise,
641 F.3d at 927 (8th Cir. 2011) (“The ALJ’s hypothetical question to the vocational expert needs
to include only those impairments that the ALJ finds are substantially supported by the record as
a whole.”). Therefore, the ALJ’s evaluation of Dr. Bucklew’s opinion is supported by
substantial evidence.
C. Opinion of Susan Clones
Finally, Plaintiff asserts that the ALJ failed to properly consider the Third Party Function
report of Susan Clones (“Ms. Clones”) (Doc. 18 at 6-7). Specifically, Plaintiff argues that the
ALJ failed to provide good reasons to discredit the observations and opinions from Ms. Clones,
Plaintiff’s neighbor and friend since 1975 (Id. at 7). When determining RFC, the Commissioner
must consider all relevant medical and other evidence, including descriptions and observations of
the limitations by both the plaintiff and others such as family or friends. 20 C.F.R.
§ 404.1545(a)(3). To the extent the statements contain opinions, the ALJ “generally should
explain the weight given to [nonmedical source] opinions.” 20 C.F.R. § 404.1527(f)(2).
On July 7, 2016, Ms. Clones, Plaintiff’s friend and neighbor, completed a Third Party
Function Report (Tr. 309-16). In the report, Ms. Clones indicated that she has known Plaintiff
since 1975 and, despite her move to Oregon in 2015, speaks to him on the phone on a weekly
basis (Tr. 309). Ms. Clones opined that she is “unaware of all his daily tasks” but that she knows
“he works approx. 4 days/week at a factory job” (Id.). When addressing Plaintiff’s limitations,
Ms. Clones’ report is not very detailed, she answered “unknown” to a number of questions (Tr.
310-15). However, to the extent Ms. Clones was able to complete the report, she indicated that,
Plaintiff is limited in the following non-exertional areas: understanding, following instructions,
completing tasks, memory, and concentration (Tr. 314). Ms. Clones specifically highlighted
Plaintiff’s inability to follow spoken instructions by providing an example; she told him not to
travel the wrong way on a road and one minute later he drove the wrong way on that same road
(Id.). Ms. Clones also indicated that Plaintiff panicked on his way to “the diagnosis center” and
needed someone to escort him to the location (Id.). Ms. Clones stated that she has been
Plaintiff’s advocate since 2013 and that she has spent lots of money addressing several of his
problems (Tr. 316). In fact, Ms. Clones detailed some of Plaintiff’s financial trouble, noting that
at one point Plaintiff had 3 payday loans (Id.).
The ALJ properly afforded Ms. Clones’ opinion “little weight” (Tr. 19). The ALJ found
Ms. Clones not to be an acceptable medical source (Id.). See 20 C.F.R. §§ 404.1502(e),
416.902(j)(“Nonmedical source means a source of evidence who is not a medical source.”). An
ALJ must consider opinions regarding a claimant’s functional limitations from nonmedical
sources such as Ms. Clones and the ALJ “generally should explain the weight given to opinions
from these sources or otherwise ensure that the discussion of the evidence in the . . . decision
allows a claimant or subsequent reviewer to follow the [ALJ’s] reasoning[.]” 20 C.F.R.
§§ 404.1527(f); 416.927(f). Here, the ALJ found Ms. Clones’ opinion to be inconsistent with the
medical evidence (Tr. 19). As addressed in more detail above, the medical evidence of record
includes generally normal mental health examinations. See Raney v. Barnhart, 396 F.3d 1007,
1010 (8th Cir. 2005) (providing that in considering the opinions of a medical source that is not an
“acceptable medical source,” an “ALJ has more discretion and is permitted to consider any
inconsistencies found within the record.”). Further, the Court notes that Ms. Clones’ opinion is
not detailed nor could it be in light of Ms. Clones’ move out of state. Finally, although the ALJ
did not note it in her opinion, there is some suggestion that Ms. Clones was perhaps biased in her
opinion. Dr. Bucklew noted that the third party report was “completed by the person described
by [one of Plaintiff’s physicians] in 2014 as one of several people who enable [Plaintiff’s]
dependency (and, who [Plaintiff] was noted to have then owed several thousand dollars)” (Tr.
78, 371-74). Therefore, the Court finds that the ALJ properly considered Ms. Clones’ opinion.
V. CONCLUSION
For the reasons set forth above, the Court finds that substantial evidence on the record as
a whole supports the Commissioner’s decision that Plaintiff is not disabled.
Accordingly,
IT IS HEREBY ORDERED that the decision of the Commissioner is AFFIRMED, and
Plaintiff’s Complaint is DISMISSED, with prejudice.
A separate judgment shall be entered incorporating this Memorandum and Order.
Dated this 29th day of September, 2020.
/s/ Noelle C. Collins
NOELLE C. COLLINS
UNITED STATES MAGISTRATE JUDGE