Opinion

Schultz v. Berryhill

Court
District Court, W.D. Missouri
Filed
Jul 8, 2019
Cited by
0 cases
Authority
More cited than 24.3%

the Commissioner may also assign "little weight" to a treating physician's opinion when it is either internally inconsistent or conclusory

How later courts described this case

  • the Commissioner may also assign "little weight" to a treating physician's opinion when it is either internally inconsistent or conclusory

Written by the judges who cited it.

The opinion

IN THE UNITED STATES DISTRICT COURT FOR THE

WESTERN DISTRICT OF MISSOURI

SOUTHWESTERN DIVISION

MARINA SCHULTZ, )

)

Plaintiff, )

)

v. ) No. 3:18-05035-CV-RK

)

ACTING COMMISSIONER OF SSA; )

)

)

Defendant. )

ORDER

Before the Court is Plaintiff’s appeal brought under 42 U.S.C. § 405(g) seeking review of

Defendant Commissioner of Social Security Administration’s (“SSA”) denial of disability benefits

as rendered in a decision by an Administrative Law Judge (“ALJ”). For the reasons below, the

decision of the ALJ is AFFIRMED.

Standard of Review

The Court’s review of the ALJ’s decision to deny disability benefits is limited to

determining if the decision “complies with the relevant legal requirements and is supported by

substantial evidence in the record as a whole.” Halverson v. Astrue, 600 F.3d 922, 929

(8th Cir. 2010) (quoting Ford v. Astrue, 518 F.3d 979, 981 (8th Cir. 2008)). “Substantial evidence

is less than a preponderance of the evidence, but is ‘such relevant evidence as a reasonable mind

would find adequate to support the [ALJ’s] conclusion.’” Grable v. Colvin, 770 F.3d 1196, 1201

(8th Cir. 2014) (quoting Davis v. Apfel, 239 F.3d 962, 966 (8th Cir. 2001)). In determining

whether existing evidence is substantial, the Court takes into account “evidence that detracts from

the [ALJ’s] decision as well as evidence that supports it.” Cline v. Colvin, 771 F.3d 1098, 1102

(8th Cir. 2014) (citation omitted). “If the ALJ’s decision is supported by substantial evidence, [the

Court] may not reverse even if substantial evidence would support the opposite outcome or [the

Court] would have decided differently.” Smith v. Colvin, 756 F.3d 621, 625 (8th Cir. 2014) (citing

Davis v. Apfel, 239 F.3d 962, 966 (8th Cir. 2001)). The Court does not “re-weigh the evidence

presented to the ALJ.” Guilliams v. Barnhart, 393 F.3d 798, 801 (8th Cir. 2005) (citing Baldwin v.

Barnhart, 349 F.3d 549, 555 (8th Cir. 2003)). The Court must “defer heavily to the findings and

conclusions of the [ALJ].” Hurd v. Astrue, 621 F.3d 734, 738 (8th Cir. 2010) (citation omitted).

Discussion

By way of overview, the ALJ determined that Plaintiff suffers from the following severe

impairments: schizoaffective disorder; generalized anxiety disorder; post-traumatic stress

disorder; and joint pain of the arm, neck, back, and right knee. However, the ALJ found that none

of Plaintiff’s impairments, whether considered alone or in combination, meet or medically equals

the criteria of one of the listed impairments in 20 CFR Pt. 404, Subpt. P, App. 1 (“Listing”).

Additionally, the ALJ found that despite her limitations, Plaintiff retained the residual functional

capacity (“RFC”) to perform medium exertional work with the following limitations: Plaintiff can

understand, remember, and carry out simply instructions and make simple work-related decisions;

Plaintiff can have occasional interaction with supervisors and co-workers, performing work

requiring no tandem tasks; and Plaintiff cannot interact with the public. Although the ALJ

determined that Plaintiff is unable to perform any past relevant work, the ALJ found that

considering Plaintiff’s age, education, work experience, and RFC, Plaintiff can perform jobs that

exist in significant numbers in the national economy.

On appeal, Plaintiff argues the ALJ’s RFC determination is not supported by substantial

evidence because the ALJ improperly discounted the medical opinions of Dr. Susan Doyle1 and

Dr. S. Gunda. Dr. Doyle is Plaintiff’s treating psychological counselor.2 Dr. Gunda is Plaintiff’s

treating physician and provided two opinions concerning Plaintiff’s mental functioning.3 The ALJ

1 Plaintiff’s briefing consistently refers to Dr. Doyle as “Dr. Pyle.” However, the ALJ, Defendant,

and medical record indicate that the appropriate name is “Dr. Doyle.” Accordingly, this Court will refer to

this doctor as Dr. Doyle.

2 Dr. Doyle provided the following opinion: Plaintiff has marked limitations in sustaining

concentration, maintaining a schedule and attendance, setting goals, and completing a normal workday

without interruptions from psychological symptoms.

3 Dr. Gunda’s first opinion in January 2016 stated: Plaintiff would likely be off task 25% of the

time secondary to her mental impairments; Plaintiff would have moderate limitations in her ability to

maintain attention and concentration for long periods of time, perform activities within a schedule, work in

coordination with or proximity to others, accept instruction or respond appropriately to criticism from

supervisors, and get along with coworkers or peers; and Plaintiff would have marked limitations in her

ability to respond to workplace changes. Dr. Gunda’s second opinion in November 2016 provided that

Plaintiff would be off task 25% of the time and have marked to extreme limitations in social functioning.

gave little weight to Dr. Doyle’s opinion and little weight to Dr. Gunda’s first opinion. The ALJ

gave no weight to Dr. Gunda’s second opinion.

An ALJ is required to weigh all medical source opinions and “always give good reasons

for the weight given to a treating source’s opinion.” SSR 96-2p, 1996 WL 374188 at *5 (Soc. Sec.

Admin. July 2, 1996). “The opinion of a treating physician is accorded special deference under

the social security regulations [and] normally entitled to great weight.” Vossen v. Astrue,

612 F.3d 1011, 1017 (8th Cir. 2010). “However, the Commissioner may discount or even

disregard the opinion of a treating physician where other medical assessments are supported by

better or more thorough medical evidence.” Fentress v. Berryhill, 854 F.3d 1016, 1020 (8th Cir.

2017) (internal quotation marks and citation omitted).

The ALJ discounted Dr. Doyle and Dr. Gunda’s opinions because the opined marked and

extreme limitations were inconsistent with the content in Plaintiff’s treatment records, inconsistent

with Plaintiff’s noncompliance with treatment and medication directives, and inconsistent with the

improvement in symptoms that Plaintiff experienced when taking her medications as directed.4

The ALJ may discount a treating psychologist’s opinion where (1) a non-examining opinion is

supported by superior medical evidence or (2) if the treating physician offered an opinion

inconsistent with the treating physician’s own treatment notes. Hogan v. Apfel, 239 F.3d 958, 961

(8th Cir. 2001). See also Chesser v. Berryhill, 858 F.3d 1161, 1164–65 (8th Cir. 2017) (the

Commissioner may also assign "little weight" to a treating physician's opinion when it is either

internally inconsistent or conclusory). If a plaintiff’s impairment can be controlled through

treatment or medication, the impairment is not disabling. Brown v. Astrue, 611 F.3d 941, 955

(8th Cir. 2010). Finally, “an ALJ may properly consider the claimant’s noncompliance with a

treating physician’s directions . . . including failing to take prescription medications.”

Choate v. Barnhart, 457 F.3d 865, 872 (8th Cir. 2006). Accordingly, the Court finds that

4 The ALJ’s opinion states that the “overall record indicates and suggests that her psychiatric

symptoms are reasonably controlled through counseling and medication, such that she functions adequately,

in spite of her underlying impairments.” (Tr. 22.) For instance, the ALJ cited treatment records that

indicated Plaintiff could function and perform tasks with certain parameters including reading, writing,

painting, doing volunteer work, and participating in various social media forums. The ALJ also considered

mental status examinations that stated Plaintiff was cognizant, functional, and “generally of a capacity and

state of mind wherein she can reasonably be expected to perform simple and learned tasks in appropriate

vocational settings.” (Tr. 22.) For instance, despite her mental impairments, the record indicates Plaintiff

was generally alert, cooperative with clear speech, logical and goal-directed in her thoughts, had normal

attention/concentration, average intellect, and intact memory.

substantial evidence supports the ALJ’s decision to discount the weight given to Dr. Doyle and

Dr. Gunda.

Conclusion

Having carefully reviewed the record before the Court and the parties’ submissions on

appeal, the Court concludes that substantial evidence on the record as a whole supports the ALJ’s

decision. IT IS THEREFORE ORDERED that the decision of the ALJ is AFFIRMED.

s/ Roseann A. Ketchmark

ROSEANN A. KETCHMARK, JUDGE

UNITED STATES DISTRICT COURT

DATED: July 8, 2019

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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