defining the RFC as “the most [the claimant] can still do despite [his] physical and mental 10 limitations”
How later courts described this case
- defining the RFC as “the most [the claimant] can still do despite [his] physical and mental 10 limitations”
- noting that the ALJ is obliged to consider all relevant medical evidence and cannot “cherry- pick” facts supporting non-disability while ignoring contrary evidence
- In addition to discussing the evidence supporting his decision in a social security disability benefits case, the ALJ must discuss the uncontroverted evidence he chooses not to rely upon, as well as significantly probative evidence he rejects.
- “[I]n determining whether an individual’s impairments are of sufficient severity to prohibit basic work-related activities, an ALJ must consider the combined effect of a claimant’s impairments.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF NORTH CAROLINA
WESTERN DIVISION
No. 5:18-CV-441-RJ
JERMAINE JONES,
Plaintiff/Claimant,
ORDER
ANDREW SAUL,
Commissioner of Social Security,
Defendant.
This matter is before the court on the parties’ cross-motions for judgment on the pleadings
[DE-17, -23] pursuant to Fed. R. Civ. P. 12(c). Claimant Jermaine Jones (“Claimant”) filed this
action pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3) seeking judicial review of the denial of his
application for a period of disability and Disability Insurance Benefits (“DIB”). The time for filing
responsive briefs has expired, and the pending motions are ripe for adjudication. Having carefully
reviewed the administrative record and the motions and memoranda submitted by the parties,
Claimant’s Motion for Judgment on the Pleadings is denied, Defendant’s Motion for Judgment on
the Pleadings is allowed, and the final decision of the Commissioner is affirmed.
I. STATEMENT OF THE CASE
Claimant protectively filed an application for a period of disability and DIB on June 29,
2016, alleging disability beginning May 2, 2015. (R. 13, 236-39). His claim was denied initially
and upon reconsideration. (R. 13, 79-109). A hearing before the Administrative Law Judge
(“ALJ”) was held on November 30, 2017, at which Claimant, represented by counsel, and a
vocational expert (“VE”) appeared and testified. (R. 13, 31-78). On May 30, 2018, the ALJ issued
a decision saving Claimant’s request for benefits. (R. 10-30). On July 19, 2018, the Appeals
Council denied Claimant’s request for review. (R. 1-6). Claimant then filed a complaint in this
court seeking review of the now-final administrative decision.
II. STANDARD OF REVIEW
The scope of judicial review of a final agency decision regarding disability benefits under
the Social Security Act (“Act”), 42 U.S.C. § 301 et seq., is limited to determining whether
substantial evidence supports the Commissioner’s factual findings and whether the decision was
reached through the application of the correct legal standards. See Coffman v. Bowen, 829 F.2d
514, 517 (4th Cir. 1987). “The findings of the Commissioner . . . as to any fact, if supported by
substantial evidence, shall be conclusive .. . .” 42 U.S.C. § 405(g). Substantial evidence is
“evidence which a reasoning mind would accept as sufficient to support a particular conclusion.”
Laws v. Celebrezze, 368 F.2d 640, 642 (4th Cir. 1966). While substantial evidence is not a “large
or considerable amount of evidence,” Pierce v. Underwood, 487 U.S. 552, 565 (1988), it is “more
than a mere scintilla . . . and somewhat less than a preponderance.” Laws, 368 F.2d at 642. “In
reviewing for substantial evidence, [the court should not] undertake to re-weigh conflicting
evidence, make credibility determinations, or substitute [its] judgment for that of the
[Commissioner].” Mastro v. Apfel, 270 F.3d 171, 176 (4th Cir. 2001) (quoting Craig v. Chater, 76
F.3d 585, 589 (4th Cir. 1996), superseded by regulation on other grounds, 20 C.F.R. §
416.927(d)(2)). Rather, in conducting the “substantial evidence” inquiry, the court’s review is
limited to whether the ALJ analyzed the relevant evidence and sufficiently explained his or her
findings and rationale in crediting the evidence. Sterling Smokeless Coal Co. v. Akers, 131 F.3d
438, 439-40 (4th Cir. 1997).
III. DISABILITY EVALUATION PROCESS
The disability determination is based on a five-step sequential evaluation process as set
forth in 20 C.F.R. § 404.1520 under which the ALJ is to evaluate a claim:
The claimant (1) must not be engaged in “substantial gainful activity,” i.e., currently
working; and (2) must have a “severe” impairment that (3) meets or exceeds [in
severity] the “listings” of specified impairments, or is otherwise incapacitating to
the extent that the claimant does not possess the residual functional capacity to (4)
perform .. . past work or (5) any other work.
Albright v. Comm’r of the SSA, 174 F.3d 473, 475 n.2 (4th Cir. 1999). “Ifan applicant’s claim fails
at any step of the process, the ALJ need not advance to the subsequent steps.” Pass v. Chater, 65
F.3d 1200, 1203 (4th Cir. 1995) (citation omitted). The burden of proof and production during the
first four steps of the inquiry rests on the claimant. /d. At the fifth step, the burden shifts to the
ALJ to show that other work exists in the national economy which the claimant can perform. /d.
When assessing the severity of mental impairments, the ALJ must do so in accordance with
the “special technique” described in 20 C.F.R. § 404.1520a(b){c). This regulatory scheme
identifies four broad functional areas in which the ALJ rates the degree of functional limitation
resulting from a claimant’s mental impairment(s): understanding, remembering, or applying
information; interacting with others; concentrating, persisting, or maintaining pace; and adapting
or managing oneself. Jd. § 404.1520a(c)(3). The ALJ is required to incorporate into his written
decision pertinent findings and conclusions based on the “special technique.” Jd. §
404.1520a(e)(3).
In this case, Claimant alleges the following errors by the ALJ: (1) the ALJ’s decision
violates Bird by failing to accord substantial weight to the VA disability rating; (2) the ALJ erred
by failing to account for the vocationally limiting effects of Claimant’s frequent bathroom usage
in the RFC; and (3) the ALJ failed to evaluate probative evidence when assessing Claimant’s social
functioning. Pl.’s Mem. [DE-18] at 9-14.
IV. ALJ’S FINDINGS
Applying the above-described sequential evaluation process, the ALJ found Claimant “not
disabled” as defined in the Act. At step one, the ALJ found Claimant had not engaged in substantial
gainful employment since May 2, 2015. (R. 15). Next, the ALJ determined Claimant had the
following severe impairments: obesity; post traumatic stress disorder (PTSD) with sleep
disturbance; depressive disorder; migraine headaches; history of colon cancer; status post (s/p)
bowel resection; plantar fasciitis; pes planus; s/p bilateral bunionectomies with residual symptoms;
inguinal hernia; obstructive sleep apnea (OSA); degenerative disc disease (DDD) of the cervical
spine; disc narrowing of the lumbar spine; and tinnitus bilaterally. Jd. However, at step three, the
ALJ concluded these impairments were not severe enough, either individually or in combination,
to meet or medically equal one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix
1. (R. 15-17).
Prior to proceeding to step four, the ALJ assessed Claimant’s RFC, finding Claimant had
the ability to perform medium work,! specifically that Claimant can lift/carry fifty pounds
occasionally and twenty-five pounds frequently; sit, stand, and walk for six hours; and push/pull
as much as he can lift/carry. (R. 17-23). The ALJ also imposed the following limitations:
occasional climbing; frequent stooping, kneeling, crouching, and crawling; frequent overhead
reaching bilaterally; occasional exposure to atmospheric conditions, moving mechanical parts, and
high, exposed places; exposure up to and including moderate noise; occasional interaction with
supervisors and coworkers, but only incidental interaction with the public, defined as one hour per
Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying objects weighing
up to 25 pounds. If someone can do medium work, he can = do sedentary and light work. 20 C.F.R. § 404.1567(c).
day and no more than ten minutes during any one sustained period; limited to “unskilled work,”
as defined in Social Security Ruling 83-10; and limited to occasional changes to the manner and
method of performing the assigned work. /d. In making this assessment, the ALJ found Claimant’s
statements about the intensity, persistence, and limiting effects of his symptoms not fully consistent
with the objective medical and other evidence. (R. 18).
At step four, the ALJ concluded Claimant did not have the RFC to perform the requirements
of his past relevant work. (R. 23). Nonetheless, at step five, upon considering Claimant’s age,
education, work experience, and RFC, the ALJ determined Claimant is capable of adjusting to the
demands of other employment opportunities that exist in significant numbers in the national
economy. (R. 24).
V. DISCUSSION
A. The VA Disability Rating
Claimant contends that the ALJ erred in failing to accord substantial weight to his 100%
VA disability rating. P1.’s Mem. [DE-18] at 9-11. Specifically, Claimant asserts that the ALJ erred
when he cited to “different standards” as his reason for giving less than substantial weight to the
VA disability rating. Pl.’s Mem. [DE-18] at 11. The Commissioner contends that the ALJ properly
considered the VA opinion because he acknowledged the 100% VA rating, explained why the ALJ’s
opinion was based on a different standard, and the ALJ mentioned each impairment in the rating
and assessed its impact on Claimant’s RFC. Def.’s Mem. [DE-24] at 7. The court agrees with the
Commissioner that the ALJ did not err in evaluating the VA decision.
In Bird v. Commissioner, the Fourth Circuit noted that “both the VA and Social Security
programs serve the same governmental purpose of providing benefits to persons unable to work
because of a serious disability.” 699 F.3d 337, 343 (4th Cir. 2012). “Thus, ... in making a
disability determination, the SSA must give substantial weight to a VA disability rating” unless the
record clearly demonstrates that a lesser weight is appropriate. Jd. (“[B]ecause the SSA employs
its own standards for evaluating a claimant’s alleged disability .. .an ALJ may give less weight to
a VA disability rating when the record before the ALJ clearly demonstrates that such a deviation is
appropriate.”). Simply noting the fact that the VA and SSA employ different standards, in and of
itself, is insufficient to justify deviation under Bird. See Nguyen v. Colvin, No. 5:14-CV-227-D,
2015 WL 5062241, at *7 (E.D.N.C. Aug. 10, 2015) (“[T]he reasons cited by the Commissioner—
different rules and different standards—would apply to every case and thus cannot be relied upon
to avoid scrutiny of the [agency’s] decision under Bird's new presumptive standard.”), adopted by
2015 WL 5089060 (E.D.N.C. Aug. 27, 2015).
Here, the ALJ begins by explaining the difference between the VA and SSA standards:
The seminal difference between the disability adjudication process in the VA
system and the SSA’s determination of disability is the SSA focus on functional
capacity and functional limitations from impairments. Whereas the VA assigns
percentages of disability from a published chart, without consideration of the
impact of the rated component impairment on the claimant’s ability to perform
basic work tasks, SSA focuses directly upon such functional limitations and their
impact on the ability to perform past work, as well as other jobs existing in the
national economy.
(R. 22). However, the ALJ goes beyond simply noting the fact that the VA and SSA employ
different standards. Throughout his RFC discussion, the ALJ notes each impairment in the rating
and assesses its impact on the RFC, making his own evaluation based on the standards of the SSA.
It is from his assessment of the evidence and the effect of each impairment on the RFC that he
bases his determination that deviation was appropriate.
The ALJ discussed the evidence relating to Claimant’s 30% chronic diarrhea rating. In
2012, Claimant had colon cancer and had 80% of his bowel removed. (R. 19, 493). Medical
records from both April 2016 and April 2017 indicate that his cancer was in remission. (R. 19,
694). Claimant testified that he was cancer free. (R. 19, 45). Claimant stated that he has
gastrointestinal problems, and that he has to use the bathroom within minutes of eating, but that
he does not wear protective garments. (R. 18, 53-54). In March 2016 Dr. Carbonell, M.D. noted
that Claimant complained of loose stools daily from having his colon removed for malignancy. (R.
19, 2042).
The ALJ also discussed the evidence relating to Claimant’s 70% PTSD rating. The
Claimant stated he had PTSD and depression. (R. 18, 48-51). Claimant also stated that he has
anxiety but that his medication helps. /d. Claimant attended prolonged exposure therapy, which
he said helped with both his PTSD and coping skills. Jd. He is able to maintain his household, is
the sole provider for his school-age daughter, is independent in his self-care needs, and is able to
drive. (R. 19, 31-78). He works out at home regularly. Jd. He does yardwork and mows. Jd. He
stated that his medication helps when he takes it. Jd.
In March 2015, Dr. Carbonell, M.D. noted that Claimant was diagnosed with PTSD in 2014.
(R. 19, 2042). In February 2016, Dr. Brannon, Ph.D., and David Johnson, M.A., conducted a
psychological consultative evaluation. (R. 20, 2021-30). Claimant’s mental status exam showed
him to be active and responsive. Jd. His reality was intact, and his speech rate was normal, but
his eye contact was limited. Jd. He reported feeling anxious and depressed and that he experienced
nightmares and flashbacks from his combat experience while in the military. Jd. He also reported
that he felt numb, detached, and irritable and that he often experienced mood swings. Jd. Claimant
reported that he avoided doing things or going places that reminded him of his past. Jd. However,
he denied doing things that got him into trouble or ever having suicidal or homicidal thoughts. Jd.
Dr. Brannon noted that his affect was appropriate to content and conversational shifts. Jd. She
also noted that the claimant appeared to be capable of understanding instructions adequately to
perform simple, routine, and repetitive tasks, and that he showed fairly good social skills. Jd. He
was able to interact appropriately with others including peers, coworkers, and supervisors,
although he was withdrawn and did have trust issues. Jd.
Dr. Burgess, Psy.D., and Ashley Weeks, M.A., performed a psychological consultative
evaluation in December 2016. (R. 20, 502-06). Claimant reported that his mood was empty and
that he had crying spells but denied homicidal or suicidal thoughts. (R. 21, 502-06). He reported
visual hallucinations. Jd. However, his thought process was clear and logical, and he was oriented
to person, time, place, and situation. Jd. His remote memory was adequate. Jd. He acknowledged
his need for mental health treatment. Jd. Dr. Burgess diagnosed him with PTSD and noted that he
appeared to be able to sustain attention to perform simple repetitive tasks, but that he would have
difficulty in relating to fellow workers and supervisors. Jd. He would also be limited in his ability
to handle the stress of day-to-day work. Jd. In January 2017, VAMC treatment notes indicated
that Claimant’s main complaint was that he had PTSD including aggression, depression, anxiety,
nightmares, and hypertension. (R. 21, 792). However, Claimant reported that he was not
hallucinating and had no problems carrying out daily activities such as performing housework,
preparing meals, transportation, and managing his medications and finances. (R. 21, 520).
The ALJ extensively discussed the evidence pertaining to Claimant’s 100% VA disability
rating, and it is not the court’s role to re-weigh evidence. Mastro, 270 F.3d at 176 (citing Craig,
76 F.3d at 589). Regarding Claimant’s 30% rating for chronic diarrhea, he noted that the evidence
shows no recurrence, and Claimant does not wear protective garments, take medication, or
experience bowel or bladder incontinence. (R. 22, 193-235). Regarding Claimant’s 70% rating
for PTSD, the ALJ noted that Claimant is capable of performing a wide range of daily activities
and that despite his mental impairments he is able to perform simple unskilled work. (R. 22). He
notes that this assessment is supported by the psychological consultative evaluations. (R. 23).
The VA rating itself also supports the ALJ’s finding that Claimant could perform work with
limitations. On September 9, 2015, Mr. Jones was assigned a 100% VA disability rating based in
part on his 70% rating for PTSD and 30% rating for chronic diarrhea. (R. 197, 209). His PTSD
rating is due to his difficulty adapting to work or to stressful circumstances, impaired impulse
control, “unprovoked irritability with periods of violence,” disturbances of motivation and mood,
“difficulty in establishing and maintaining effective work and social relationships,” depressed
mood, chronic sleep impairment, anxiety, suspiciousness, and “occupational and social impairment
with occasional decrease in work efficiency and intermittent periods of inability to perform
occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care
and conversation normal).” (R. 197). Claimant’s PTSD rating was 70% rather than 100% because
the VA noted that the evidence did not show total occupational and social impairment, suggesting
that work could be done with accommodation. Jd. The VA rating is consistent with the ALJ’s
finding. The ALJ imposed restrictive conditions in the RFC to account for Claimant’s PTSD, with
a limitation to occasional interaction with supervisors and coworkers, and only incidental
interaction with the public, defined as one hour per day and no more than ten minutes during one
sustained period. (R. 18). His 30% chronic diarrhea rating is due to his diarrhea and frequent
episodes of bowel disturbance and distress. (R. 209). However, the 30% VA rating indicated that
his condition was expected to improve. Jd.
Here, the ALJ’s discussion, read as a whole, demonstrates that deviation was appropriate,
and thus the ALJ’s decision did not violate Bird. The ALJ discusses the relevant evidence
regarding Claimant’s 70% PTSD rating and 30% chronic diarrhea rating, and sufficiently
explained why they did not preclude Claimant from performing work with limitations. Thus, the
ALJ’s decision not to give substantial weight to the VA disability rating is supported by substantial
evidence. See Ellison v. Berryhill, No. 7:17-CV-156-RJ, 2018 WL 3618371, at *4, (E.D.N.C. July
30, 2018) (finding no error in the ALJ’s evaluation of the VA disability rating, where the ALJ
sufficiently explained his reasoning for deviating from the VA disability rating because the ALJ’s
decision read as a whole contained substantial evidence supporting deviation).
B. The limiting effects of Claimant’s frequent bathroom usage in the RFC.
Claimant contends that the ALJ erred by failing to account for the vocationally limiting
effects of Claimant’s frequent bathroom usage in the RFC. P1.’s Mem. [DE-18] at 12-13. Claimant
argues that his frequent bathroom usage due to his loose stools and diarrhea would take him away
from his work station often. Jd. This is based on Claimant’s testimony during his hearing that he
must use the restroom within minutes of eating and that before his hearing he had already used the
restroom four times that day. Jd. The VE testified that if Claimant were off task for more than 13%
of the time he would be unemployable. (R. 76). From this Claimant concludes that the ALJ did
not properly include an accommodation for his frequent bathroom usage in the RFC, because it
could take him off task for more than 13% of the workday. PI.’s Mem. [DE-18] at 12-13. The
Commissioner contends that the ALJ properly gave no weight to Claimant’s allegations about a
need for constant bathroom breaks. Def.’s Mem. [DE-24] at 10. The court agrees with the
Commissioner.
An individual’s RFC is the capacity he possesses despite the limitations caused by physical
or mental impairments. 20 C.F.R. § 404.1545(a)(1); see also S.S.R. 96-8p, 1996 WL 374184, at
*1 (July 2, 1996); see Brown v. Comm’r Soc. Sec. Admin., 873 F.3d 251, 254 (4th Cir. 2017)
(defining the RFC as “the most [the claimant] can still do despite [his] physical and mental
10
limitations”). “[T]he residual functional capacity ‘assessment must first identify the individual’s
functional limitations or restrictions and assess his or her work-related abilities on a function-by-
function basis, including the functions’ listed in the regulations.” Mascio v. Colvin, 780 F.3d 632,
636 (4th Cir. 2015) (quoting S.S.R. 96—-8p). The RFC is based on all relevant medical and other
evidence in the record and may include a claimant’s own description of limitations arising from
alleged symptoms. 20 C.F.R. § 404.1545(a)(3); see also S.S.R. 96-8p, 1996 WL 374184, at *5.
Where a claimant has numerous impairments, including non-severe impairments, the ALJ
must consider their cumulative effect in making a disability determination. 42 U.S.C.
§ 423(d)(2)(B); see Hines v. Brown, 872 F.2d 56, 59 (4th Cir. 1989) (“[I]n determining whether an
individual’s impairments are of sufficient severity to prohibit basic work-related activities, an ALJ
must consider the combined effect of a claimant’s impairments.”) (citations omitted). The ALJ
has sufficiently considered the combined effects of a claimant’s impairments when each is
separately discussed along with a claimant’s complaints and activities. Baldwin v. Barnhart, 444
F. Supp. 2d 457, 465 (E.D.N.C. 2005) (citations omitted).
The RFC assessment “must include a discussion of why reported symptom-related
functional limitations and restrictions can or cannot reasonably be accepted as consistent with the
medical and other evidence,” as well as a “narrative discussion describing how the evidence
supports each conclusion, citing specific medical facts (e.g., laboratory findings) and nonmedical
evidence (e.g., daily activities, observations).” Jd.; see also Clifford v. Apfel, 227 F.3d 863, 872
(7th Cir. 2000) (observing that the ALJ “must build an accurate and logical bridge from the
evidence to his conclusion”).
The ALJ discussed the evidence relating to Claimant’s gastrointestinal problems. In 2012,
Claimant had colon cancer and had 80% of his bowel removed. (R. 19, 493). Medical records
11
from both April 2016 and April 2017 indicate that his cancer was in remission. (R. 19, 694).
Claimant testified that he was cancer free. (R. 19, 45). Claimant stated that he has gastrointestinal
problems, and that he has to use the bathroom within minutes of eating, but that he does not wear
protective garments. (R. 18, 53-54). In March 2016, Dr. Carbonell M.D. noted that Claimant
complained of loose stools daily from having his colon removed for malignancy. (R. 19, 2042).
The ALJ concluded that “his impairments are likely to produce some of the functional
limitations that he speaks of, but not to the extent that he is unable to satisfy the demands of regular
work activity on a sustained basis.” (R. 23). The ALJ draws this conclusion from the fact that
Claimant’s medical record indicates that his colon cancer is in remission. (R. 19, 694). The ALJ
acknowledged that Claimant has complained of loose stools to his physicians and claims he must
use the bathroom within minutes of eating. However, the ALJ discussed the evidence regarding
Claimant’s colon cancer remission, as well as the fact that Claimant does not wear protective
garments, does not take medication, and does not experience bowel or bladder incontinence. (R.
18, 193-235). Thus, the ALJ drew an accurate and logical bridge from the evidence to his
conclusion. Monroe y. Colvin, 826 F.3d 176, 188 (4th Cir. 2016). It is not the role of the court to
re-weigh the evidence. Mastro, 270 F.3d at 176. Therefore, the ALJ did not err in his consideration
of the effect of Claimant’s frequent bathroom usage in the RFC.
Cc. Claimant’s Social Functioning
Claimant contends that the ALJ failed to evaluate probative evidence when assessing
Claimant’s social functioning. Pl.’s Mem. [DE-—18] at 13-14. The Commissioner argues that the
ALJ properly evaluated Claimant’s social functioning, and the ALJ’s conclusions are supported by
the 70% PTSD disability rating, and the medical evidence. Def.’s Mem. [DE-24] at 12-13. The
court agrees with the Commissioner.
12
While it is not the province of this court to weigh the evidence considered by the ALJ, the
court must consider whether the ALJ considered and analyzed all the relevant evidence. See
Sterling Smokeless Coal Co., 131 F.3d at 439-40. The ALJ may not select and discuss only that
evidence that favors her ultimate conclusion. See Lewis v. Berryhill, 858 F.3d 858, 869 (4th Cir.
2017) (noting that the ALJ is obliged to consider all relevant medical evidence and cannot “cherry-
pick” facts supporting non-disability while ignoring contrary evidence); Loza v. Apfel, 219 F.3d
378, 393 (5th Cir. 2000) (explaining the ALJ cannot pick and choose only the evidence that
supports his position); Clifton v. Chater, 79 F.3d 1007, 1010 (10th Cir. 1996) (In addition to
discussing the evidence supporting his decision in a social security disability benefits case, the
ALJ must discuss the uncontroverted evidence he chooses not to rely upon, as well as significantly
probative evidence he rejects.).
The ALJ extensively discusses the evidence regarding Claimant’s social functioning. He
acknowledged that Claimant was diagnosed with PTSD in 2014. (R. 19, 2040). He discussed a
February 2016 psychological consultative evaluation (“CE”) by Dr. Brannon, Ph. D., and David
Johnson, M.A., during which Claimant’s mental status exam showed that he was active and
responsive, his reality contact was intact, and his speech rate was normal. (R. 20, 2026-30). He
reported being depressed and anxious, experiencing flashbacks and some nightmares related to his
combat experience while in the military. Jd. He reported that he avoided doing things or going
places that reminded him of his past and that he felt numb and detached towards things going on
around him. Jd. He also reported mood swings and irritability but denied doing things that got
him into trouble. Jd. However, Dr. Brannon assessed that Claimant demonstrated fairly good
social skills and the ability to interact appropriately with others including peers, coworkers, and
supervisors, but that he was withdrawn socially and had some trust issues. Jd. She recommended
13
mental health services including psychiatric treatment and counseling. Jd.
In December 2016, Claimant underwent another psychological CE by Dr. Burgess, Psy.D.,
and Ashley Weeks, M.A., which revealed that he was cooperative and polite, and his speech was
clear, coherent, and normal in rate in volume. (R. 20, 502-06). Claimant reported that his mood
felt empty, and that he experienced crying spells, but again denied suicidal or homicidal thoughts.
(R. 20-21, 502-06). Dr. Burgess assessed that Claimant was able to sustain attention to perform
simple repetitive tasks but that he would likely have difficulty relating to fellow workers and
supervisors. Further, Claimant’s ability to tolerate stress associated with day-to-day work activity
would probably be limited. (R. 21, 502-06)
In January of 2017, Claimant reported aggression, depression, anxiety, nightmares, and
hypertension but that he did not need help supervising his daily activities and had no trouble
preparing meals, performing housework, driving, or managing his medications or his finances. (R.
21, 785-842). In September 2018, Claimant’s treatment notes state that he was alert and oriented
times four, his appearance was neat and casual, and he made appropriate eye contact during the
entire session. /d. Claimant’s speech rate, volume, and prosody were normal, and his thought
process was relevant and goal oriented. Jd. He neither displayed or reported psychotic symptoms,
delusional content, or homicidal or suicidal ideations. Jd. Again, Claimant reported that he did
not need any help with basic daily activities. Jd.
Based on the evidence, the ALJ concluded that despite his mental impairments Claimant is
able to perform simple unskilled work. (R. 23). The ALJ also included the limitations of only
occasional interaction with supervisors and coworkers; only incidental interaction with the public,
defined as one hour per day and no more than ten minutes during any one sustained period; and
limited to occasional changes in the manner and method of performing the assigned work. (R. 17—
14
18).
The ALJ explained that his determination was made based on the fact that Claimant is able
to perform a wide range of activities of daily living, including maintaining a household as a single
parent, cooking, cleaning, doing yardwork, grocery shopping, and driving. (R. 23, 31-78). Further,
Claimant testified that his medication and counseling have helped and that he now attends
counseling only once every two months. (R. 23, 51). The ALJ also made this determination based
on the consultative examinations of Dr. Brannon who concluded that while Claimant was
withdrawn socially and had some trust issues, he demonstrated fairly good social skills and the
ability to interact appropriately with others including peers, coworkers, and supervisors, and Dr.
Burgess, who concluded that Claimant was able to sustain attention to perform simple repetitive
tasks. (R. 22, 2020-30, 502-07). The ALJ explained that he found Dr. Brannon’s and Dr. Burgess’
assessments highly persuasive because both are consistent with the objective medical evidence
and the record as a whole, including Claimant’s daily activities. (R. 22). Thus, there is substantial
evidence to support the ALJ’s determination, and the ALJ did not fail to evaluate probative
evidence when assessing Plaintiff's social functioning.
VI. CONCLUSION
For the reasons stated above, Claimant’s Motion for Judgment on the Pleadings [DE-17]
is DENIED, Defendant’s Motion for Judgment on the Pleadings [DE-23] is ALLOWED and the
final decision of the Commissioner is affirmed.
So ordered, this the 24th day of July, 2019. .
Zi (t-G-+
Robert B. Jones,
United States Magistrate Judge
15