stating “[t]here is no legal requirement that a physician have made the particular findings that an ALJ adopts in the course of determining an RFC.”
How later courts described this case
- stating “[t]here is no legal requirement that a physician have made the particular findings that an ALJ adopts in the course of determining an RFC.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF PENNSYLVANIA
MELISSA ANNE OWENS, )
)
Plaintiff, )
)
v. ) Civil Action No. 24-268-E
)
LELAND DUDEK,1 )
Acting Commissioner of Social Security, )
)
Defendant. )
O R D E R
AND NOW, this 30th day of April, 2025, upon consideration of the parties’ cross-
motions for summary judgment, the Court, after reviewing the Commissioner of Social
Security’s final decision denying Plaintiff’s claim for disability insurance benefits under
Subchapter II of the Social Security Act, 42 U.S.C. §§ 401 et seq., and her claim for
supplemental security income benefits under Subchapter XVI of the Act, 42 U.S.C.
§§ 1381 et seq., finds that the Commissioner’s findings are supported by substantial
evidence and, accordingly, affirms. See 42 U.S.C. § 405(g); Biestek v. Berryhill, 139 S.
Ct. 1148, 1153-54 (2019); Jesurum v. Secretary of U.S. Dep’t of Health & Human Servs,
48 F.3d 114, 117 (3d Cir. 1995) (citing Brown v. Bowen, 845 F.2d 1211, 1213 (3d Cir.
1988)). See also Berry v. Sullivan, 738 F. Supp. 942, 944 (W.D. Pa. 1990) (if supported
1 Leland Dudek is substituted as the defendant in this matter, pursuant to Federal
Rule of Civil Procedure 25(d) and 42 U.S.C. § 405(g). The Clerk is directed to amend
the docket to reflect this change.
1
by substantial evidence, the Commissioner’s decision must be affirmed, as a federal court
may neither reweigh the evidence, nor reverse, merely because it would have decided the
claim differently) (citing Cotter v. Harris, 642 F.2d 700, 705 (3d Cir. 1981)).2
2 Plaintiff contends that remand is required because the ALJ acted improperly in
crafting her residual functional capacity (“RFC”) as there are no medical opinions in the
record from any treating or examining medical sources and the ALJ failed to adequately
explain how he crafted Plaintiff’s mental RFC. (Doc. No. 7 at 12-14). Additionally,
Plaintiff argues that the record was insufficient as it was missing her mental health
treatment records. (Id. at 14-15). Upon consideration, the Court disagrees with Plaintiff
and finds the ALJ’s decision is supported by substantial evidence.
The Court finds no error in the ALJ’s action in crafting Plaintiff’s RFC without
treating or examining medical opinions within the record. Plaintiff contends that “[r]arely
can a decision be made regarding a claimant’s [RFC] without an assessment from a physician
regarding the functional abilities of the claimant.” (Doc. No. 7 at 12) (citing, inter alia,
Doak v. Heckler, 790 F.2d 26 (3d Cir. 1986)). The Court disagrees with Plaintiff. This
Court has previously explained that Doak “does not, as Plaintiff suggests, hold that an ALJ's
RFC findings must be based on a particular medical opinion . . .” Mangyik v. Dudek, No.
23-148-J, 2025 WL 714116, at *1 n.2 (W.D. Pa. Mar. 5, 2025) (quoting Doty v. Colvin, No.
CIV.A. 13–80–J, 2014 WL 29036, at *1 n.1 (W.D. Pa. Jan. 2, 2014)). Rather, in Doak,
“[t]he Third Circuit did nothing more than make a substantial evidence finding in light of a
limited record . . . and subsequent Third Circuit case law confirms this understanding.”
Doty, 2014 WL 29036, at *1 n.1; see also Titterington v. Barnhart, 174 Fed. Appx. 6, 11 (3d
Cir. 2006) (stating “[t]here is no legal requirement that a physician have made the particular
findings that an ALJ adopts in the course of determining an RFC.”). Indeed, “[s]urveying
the medical evidence to craft an RFC is part of the ALJ's duties.” Titterington, 174 Fed.
Appx. at 11. Accordingly, it was not inherent error for the ALJ to craft an RFC without a
treating or examining medical source opinion.
Likewise, Plaintiff’s reliance on Dellaquila v. Comm’r of Soc. Sec., No. 21-584,
2022 WL 4236621, at *4 (W.D. Pa. Sept. 14, 2022) is unpersuasive. In Dellaquila, the
court remanded because the ALJ insufficiently explained how he crafted the plaintiff’s
RFC after rejecting the only opinion as to plaintiff’s mental functioning capacity. Id.
This combination left the Court with no other choice but to remand for further discussion.
Id. Here, however, the ALJ adequately explained how he determined Plaintiff’s mental
RFC limitations and found the initial state agency psychological consultant’s opinion as to
Plaintiff’s mental impairments somewhat persuasive. (R. 24). After reviewing all the
evidence, the ALJ determined Plaintiff had the following mental RFC:
2
After careful consideration of the entire record, the undersigned finds that the
claimant has the residual functional capacity to perform . . . jobs that have only
simple tasks, decisions, and instructions, meaning work which needs little or
no judgment to do simple duties that can be learned on the job in a short period
of time, usually no more than 30 days; and she is limited to jobs that are not
performed in a production-rate environment, such as an assembly line.
(R. 20). The ALJ based these limitations on all the evidence, which he surveyed throughout
his decision, his finding that Plaintiff had the severe impairment of a mood disorder at Step
Two of the sequential process, and on his analysis of Plaintiff’s mental functioning under the
“paragraph B criteria” at Step Three of the sequential process. (R. 18-24).
The ALJ explained that the record showed that Plaintiff was on medication for
depression and anxiety from her primary care provider and that there was no evidence in
the record that she had any mental health treatment during the relevant period. (R. 23).
The ALJ also acknowledged that Plaintiff was diagnosed with major depressive disorder,
that she sometimes reported improvement on medication and other times reported no relief
from medication, and that her medication was changed several times during the relevant
period. (Id.). Her doctor reported that her depression and anxiety were stable and
controlled. (Id. (citing Ex. C2F/69-73)). The ALJ noted that he weighed this evidence
most favorably to Plaintiff and included appropriate limitations into the RFC. (R. 23-24).
He also stated that the RFC “assessment adopted in this decision contains sufficient
restrictions to adequately account for any limitations that could reasonably be expected to
arise as a result of claimant’s impairments.” (R. 24).
Additionally, the ALJ evaluated the opinion of the state agency psychological
consultants, who found at the initial level that Plaintiff had the nonsevere impairment of
anxiety and at the reconsideration level that Plaintiff had the nonsevere impairments of
anxiety and depression. (Id.). The ALJ found these opinions somewhat persuasive and
not persuasive, respectively, but noted that “weighing the evidence most favorably to
claimant, the undersigned has considered her mental health condition to be severe and
added additional limitations based on that.” (R. 24).
Moreover, at Step Three of the sequential process, the ALJ found that Plaintiff had
mild limitations in understanding, remembering, and applying information, and in adapting
and managing herself; and a moderate limitation in concentration, persisting, or
maintaining pace. (R. 19). The ALJ assessed these limitations after evaluating
Plaintiff’s testimony, which showed that Plaintiff has difficulty focusing and concentrating,
has issues with anger, has crying episodes, and has difficulties maintaining a schedule,
among other things. (R. 19). The ALJ also noted that his RFC assessment reflected the
degree of limitations he found in this analysis. (R. 20).
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Therefore, IT IS HEREBY ORDERED that Plaintiff’s Motion for Summary
Judgment (Doc. No. 6) is DENIED and that Defendant’s Motion for Summary Judgment
(Doc. No. 8) is GRANTED.
s/Mark R. Hornak
Chief United States District Judge
ecf: Counsel of record
The ALJ’s findings as to Plaintiff’s mental functioning and assessment of the
evidence, as a whole, logically led to the ALJ’s mental RFC finding. While the ALJ did
not precisely articulate how each limitation was found, he articulated that he incorporated
mental limitations into Plaintiff’s RFC after “[w]eighing the evidence most favorably to
claimant” and determining Plaintiff’s mood disorder to be “severe[,]” such that “appropriate
limitations [were] included in the residual functional capacity assessment.” (R. 24); see
Ellinger v. Kijakazi, No. 22-349-E, 2023 WL 8282057, at *1 n.1 (W.D. Pa. Nov. 30, 2023)
(noting the ALJ provided an “accurate and logical bridge” connecting plaintiff’s mental
limitations to the RFC when stating that he considered past mental history, Plaintiff’s
testimony, and incorporated several limitations in the RFC after “[c]onsidering the evidence
in a way most favorable to the claimant[.]”); Taylor v. Dudek, No. 23-2109, 2025 WL
692116, at *1 n.2 (W.D. Pa. Mar. 4, 2025) (affirming where the ALJ explained how he
accounted for plaintiff’s mental limitations despite rejecting all medical opinions of record).
Moreover, he articulated that the RFC reflected the degrees of limitations he found at Step
Three of the sequential process. (R. 20). In this regard, the Court takes the ALJ “at his
word.” Jones v. Comm’r of Soc. Sec., 297 Fed. Appx. 117, 120 (3d Cir. 2008).
Accordingly, the Court finds Plaintiff’s mental RFC is supported by substantial evidence.
Additionally, the Court rejects Plaintiff’s argument that it should remand based on
her missing mental health treatment records. (Doc. No. 7 at 14-15). Plaintiff
specifically refers to her records from mental health therapy in 2019-21. (Id.; R. 77).
Plaintiff’s argument overlooks that it was her burden to secure medical evidence that could
have helped her prove her disability claim. 20 C.F.R. §§ 404.1512, 416.912. Plaintiff
was represented at the administrative level and, as such, the ALJ was permitted to assume
that she put forth her best case. See Skinner v. Astrue, 478 F.3d 836, 842 (7th Cir. 2007).
Moreover, this argument is at odds with the fact that the ALJ granted Plaintiff’s request to
keep her record open post-hearing, but Plaintiff did not take that time to submit these
records. (R. 91-92). Accordingly, Plaintiff’s argument on this point is without merit.
In sum, the ALJ’s findings and conclusions are supported by substantial evidence.
Accordingly, the decision of the Commissioner must be affirmed.
4