Aiello-Zak v. Commissioner of Social Security
Aiello-Zak v. Commissioner of Social Security
Opinion of the Court
MEMORANDUM OPINION AND ORDER
Introduction
A. Nature of the case and proceedings
Before me
B. Background facts and decision of the Administrative Law Judge (“ALJ”)
Zak, who was 47 years old at the time of the administrative hearing,
The ALJ, whose decision became the final decision of the Commissioner, found that Zak had the following severe impairments: major depressive disorder, depressive disorder, NOS, and panic disorder with agoraphobia.
After concluding that the relevant impairments did not meet or equal a listing, the ALJ made the following finding regarding Zak’s residual functional capacity (“RFC”):
After careful consideration of the entire record, the undersigned finds that the claimant has the residual functional capacity to perform a full range of work at all exertional levels but with the following nonexertional limitations: she can*553 understand, remember and carryout simple, routine tasks which can be learned in 30 days or less. She is limited to low stress tasks which is defined as precluding high production quotas such as piecework or assembly line work, strict time requirements, arbitration, negotiation, confrontation, directing the work of others or being responsible for the safety of others. She can make judgments on simple work related decisions and task she performs should be repetitive so the environment is relatively static. She should have limited and superficial interaction with coworkers and the public.16
The ALJ decided that this RFC precluded Zak from performing her past relevant work.
Based on an answer to a hypothetical question posed to the vocational expert at the hearing setting forth the RFC finding quoted above,
C. Issues on judicial review and decision
Zak asks for reversal of the Commissioner’s decision on the ground that it does not have the support of substantial evidence in the administrative record. Specifically, Zak’s challenge presents the following issue for judicial review:
The ALJ assigned the opinion of Bradly Winkhart, M.D., Zak’s treating psychiatrist, some to no weight; and the opinion of Erin Hillard, D.O., her treating physician, minimal weight. Although the ALJ provided only limited and cursory reasons for these weight assignments in evaluating the opinions, she extensively discussed the treatment notes generated by these sources elsewhere in her decision. Did the ALJ properly weigh and articulate as to these opinions?
For the reasons that follow, I will conclude that the ALJ’s finding of no disability is supported by substantial evidence and, therefore, must be affirmed.
Analysis
A. Standards of review
2. Substantial evidence
The Sixth Circuit in Buxton v. Halter reemphasized the standard of review applicable to decisions of the ALJs in disability eases:
Congress has provided for federal court review of Social Security administrative decisions. 42 U.S.C. § 405(g). However, the scope of review is limited under 42 U.S.C. § 405(g): “The findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive.... ” In other words, on review of the Commissioner’s decision that claimant is not totally disabled within the meaning of the Social Security Act, the only issue reviewable by this court is whether the decision is supported by substantial evidence. Substantial evidence is “ ‘more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.’ ”
The findings of the Commissioner are not subject to reversal merely because there exists in the record substantial*554 evidence to support a different conclusion. This is so because there is a “zone of choice” within which the Commissioner can act, without the fear of court interference.21
Viewed in the context of a jury trial, all that is necessary to affirm is that reasonable minds could reach different conclusions on the evidence. If such is the case, the Commissioner survives “a directed verdict” and wins.
I will review the findings of the ALJ at issue here consistent with that deferential standard. The relevant evidence from the administrative record will be discussed in detail as part of the following analysis.
2. Treating physician rule and good reasons requirement
The regulations of the Social Security Administration require the Commissioner to give more weight to opinions of treating sources than to those of non-treating sources under appropriate circumstances.
Generally, we give more weight to opinions from your treating sources, since these sources are likely to be the medical professionals most able to provide a detailed, longitudinal picture of your medical impairment(s) and may bring a unique perspective to the medical evidence that cannot be obtained from objective medical findings alone or from reports of individual examinations, such as consultative examinations or brief hospitalizations.24
If such opinions are “well-supported by medically acceptable clinical and laboratory diagnostic techniques” and “not inconsistent with the other substantial evidence in [the] case record,” then they must receive “controlling” weight.
The ALJ has the ultimate responsibility for determining whether a claimant is disabled.
The regulation does cover treating source opinions as to a claimant’s exertional limitations and work-related capacity in light of those limitations.
In Wilson v. Commissioner of Social Security,
• State that the opinion is not supported by medically acceptable clinical and laboratory techniques or is inconsistent with other evidence in the case record.
• Identify evidence supporting such finding.
• Explain the application of the factors listed in 20 C.F.R. § 404.1527(d)(2) to determine the weight that should be given to the treating source’s opinion.35
The court went on to hold that the failure to articulate good reasons for discounting the treating source’s opinion is not harmless error.
The Sixth Circuit in Gayheart v. Commissioner of Social Security
As explained in Gayheart, the ALJ must first consider if the treating source’s opinion should receive controlling weight
The court in Gayheart cautioned against collapsing these two distinct analyses into one.
But the ALJ did not provide “good reasons” for why Dr. Onady’s opinions fail to meet either prong of this test.
To be sure, the ALJ discusses the frequency and nature of Dr. Onady’s treatment relationship with Gayheart, as well as alleged internal inconsistencies between the doctor’s opinions and portions of her reports. But these factors are properly applied only after the ALJ has determined that a treating-source opinion will not be given controlling weight.54
In a nutshell, the Wilson/Gayheart line of cases interpreting the Commissioner’s regulations recognizes a rebuttable presumption that a treating source’s opinion should receive controlling weight.
The failure of an ALJ to follow the procedural rules for assigning weight to the opinions of treating sources and the giving of good reason for the weight assigned denotes a lack of substantial evidence even if the decision of the ALJ may
Given the significant implications of a failure to properly articulate (i e., remand) mandated by the Wilson decision, an ALJ should structure the decision to remove any doubt as to the weight given the treating source’s opinion and the reasons for assigning such weight. In a single paragraph the ALJ should state what weight he or she assigns to the treating source’s opinion and then discuss the evidence of record supporting that assignment. Where the treating source’s opinion does not receive controlling weight, the decision must justify the assignment given in light of the factors set out in §§ 1527(d)(l)-(6).
The Sixth Circuit has identified certain breaches of the Wilson rules as grounds for reversal and remand:
• the failure to mention and consider the opinion of a treating source,61
• the rejection or discounting of the weight of a treating source without assigning weight,62
• the failure to explain how the opinion of a source properly considered as a treating source is weighed (ie., treating v. examining),63
• the elevation of the opinion of a non-examining source over that of a treating source if the nonexamining source has not reviewed the opinion of the treating source,64
• the rejection of the opinion of a treating source because it conflicts with the opinion of another medical source without an explanation of the reason therefor,65 and
• the rejection of the opinion of a treating source for inconsistency with other evidence in the record without an explanation of why “the treating physician’s conclusion gets the short end of the stick.”66
The Sixth Circuit in Blakley
In Cole v. Astrue,
B. Application of standards
This case turns on whether the ALJ articulated good reasons for not granting controlling weight to the opinions of Drs. Winkhart and Hillard.
Although Zak argues that the ALJ failed to follow the prescribed procedure for addressing opinions of treating physicians set out in Gayheart — a position which the Commissioner does not essentially contest
In particular, where the ALJ carefully summarized the results of the claimant’s objective medical records, as well as noting the daily activities of the claimant, and then showed why the opinion of the treating source was inconsistent with these facts, the decision to accord the opinion of the treating source “not much weight” was supported by substantial evidence and not violative of Gayheart
Here, as to the opinion of Dr. Winkhart, the ALJ noted the dates when Dr. Wink-hart treated the claimant, summarized the treatment notes from those visits, and then reviewed-Dr. Winkhart’s April 4, 2011, assessment of Zak’s mental limitations in work-related areas.
As Zak observes, this argument does not specifically address the individual elements of mild, moderate, and marked limitations that Dr. Winkhart found in his April 4, 2011, evaluation.
Further, Zak maintains that the failure of the ALJ to give more than a single example of how a medication change produced some improvement represents the lack of a good reason for discounting the opinion of Dr. Winkhart.
Zak’s analysis is correct insofar as it goes. To the extent that the ALJ here cites any specific reasons for discounting the opinion of this treating source, the stated reason is limited to a single, somewhat innocuous statement that a medication change produced some improvement. That alone is hardly a good and sufficient reason to discount the opinion of a treating psychologist as to the various limitations on Zak’s work-related functioning.
But the Commissioner argues that this cursory statement of reasons must be read together with the determination that Zak’s daily activities are not consistent with the limitations expressed by Dr. Winkhart. While this argument comes close to being the kind of post hoc rationalization that cannot save an insufficiently articulated opinion, it remains true, as noted above, that contradictory daily activities of the claimant can provide substantial evidence for finding a claimant not disabled. And, as found in Dyer, findings concerning a claimant’s daily activities can be sufficient reason to accord less weight to contradictory conclusions in the opinion of a treating source.
Zak herself spends considerable time discussing the ALJ’s reasons for finding that she was not credible, arguing basically that the ALJ misconstrued the evidence cited to conclude that she was not fully credible in her statement of her limitations.
(1) claimant’s history of having panic disorders for 17 years while being hospitalized only once, along with some counseling, was inconsistent with severity;91
(2) Dr. Hillard in 2009 found the claimant’s anxiety was well controlled and she was doing well;92
(3) there was no evidence of anxiety or complaints of panic attacks in the May 2010 visit to Dr. Hillard, and no such complaints in the December 2010 visit;93 and,
(4) no treatment at all from Dr. Hillard from December 2010 to April 2012.94
In addition, the ALJ cited a paragraph of other examples that included claimant going out with Mends, seeing her children, and being dizzy while out shopping.
Zak argues here that these are isolated, discrete examples of doing well that are consistent with a condition that “fluctuates in intensity and severity” and are thus insufficient to form the basis for a determination that her limitations are not as severe as she claims.
That said, and further granting that single episodes may not reflect a capacity for performing consistently at a job, the Commissioner is entitled to act within a zone of choice in weighing the evidence and determining functional capacity.
I now consider the opinion of Dr. Hillard. In that opinion, which was given in April, 2012, Dr. Hillard noted that Zak has been worsening over the last 18-24 months, that she is not currently stabilized, and that her condition is likely to deteriorate.
Therefore, while the ALJ’s handling of the treating source opinions was not a textbook model of Gayheart compliance, and while on de novo review I may have
Conclusion
Substantial evidence supports the finding of the Commissioner that Zak had no disability. The denial of Zak’s application is affirmed.
IT IS SO ORDERED.
. ECF #17. The parties have consented to my exercise of jurisdiction.
. ECF # 1.
. ECF #9.
. ECF #10.
. ECF #4.
. ECF# 11.
. ECF #18 (Commissioner’s brief); ECF #15 (Zak's brief), ECF #19 (Zak’s reply brief).
. ECF # 18-1 (Commissioner’s charts); ECF # 15-1 (Zak’s charts).
. ECF # 14 (Zak’s fact sheet).
. ECF #21.
. ECF #22.
. Transcript ("Tr.") at 22, 24.
. Id. at 17.
. Id. at 22.
. Id. at 15.
. Id. at 17.
. Id. at 22.
.Id. at 23.
. Id.
. Id.
. Buxton v. Halter, 246 F.3d 762, 772 (6th Cir. 2001) (citations omitted).
. LeMaster v. Sec’y of Health & Human Servs., 802 F.2d 839, 840 (6th Cir. 1986); Tucker v. Comm’r of Soc. Sec., No. 3:06cv403, 2008 WL 399573, at *6 (S.D.Ohio Feb. 12, 2008).
. Rogers v. Comm’r of Soc. Sec., 486 F.3d 234, 241 (6th Cir. 2007).
. 20 C.F.R. § 404.1527(d)(2).
. Id.
. Schuler v. Comm’r of Soc. Sec., 109 Fed.Appx. 97, 101 (6th Cir. 2004).
. Id.
. Swain v. Comm’r of Soc. Sec., 297 F.Supp.2d 986, 991 (N.D.Ohio 2003), citing Green-Younger v. Barnhart, 335 F.3d 99, 106-07 (2nd Cir. 2003).
. Garner v. Heckler, 745 F.2d 383, 391 (6th Cir. 1984).
. Heston v. Comm’r of Soc. Sec., 245 F.3d 528, 536 (6th Cir. 2001).
. Id. at 535.
. Wilson v. Comm’r of Soc. Sec., 378 F.3d 541 (6th Cir. 2004).
. Id. at 544.
. Id., citing and quoting 20 C.F.R. § 404.1527(d)(2).
. Id. at 546.
. Id.
. Id.
. Id.
. Id.
. Gayheart v. Comm’r of Soc. Sec., 710 F.3d 365 (6th Cir. 2013).
. Id. at 375-76.
. Rogers, 486 F.3d at 242.
. Blakley v. Comm’r of Soc. Sec., 581 F.3d 399, 406-07 (6th Cir. 2009).
. Hensley v. Astrue, 573 F.3d 263, 266 (6th Cir. 2009).
. Gayheart, 710 F.3d at 376.
. Id.
. Id.
. Rogers, 486 F.3d at 242.
. Gayheart, 710 F.3d at 376.
. Id.
. Id.
. Id.
. Id.
. Id.
. Rogers, 486 F.3d at 242.
. Blakley, 581 F.3d at 406-07.
. Hensley, 573 F.3d at 266-67.
. Friend v. Comm’r of Soc. Sec., 375 Fed.Appx. 543, 551-52 (6th Cir. 2010).
. Blakley, 581 F.3d at 407.
. Wooten v. Astrue, No. 1:09-cv-981, 2010 WL 184147, at *8 (N.D.Ohio Jan. 1.4, 2010).
. Blakley, 581 F.3d at 407-08.
. Id. at 408.
. Id.
. Id. at 409.
. Hensley, 573 F.3d at 266-67.
. Friend, 375 Fed.Appx. at 551-52.
. Blakley, 581 F.3d 399.
. Id. at 409-10.
. Id. at 410.
. Cole v. Astrue, 661 F.3d 931 (6th Cir. 2011).
. Id. at 940.
. See, ECF # 18 at 12 ("[Although the ALJ did not provide a succinct inquiry [sic], a review of her decision shows that she considered the first step [of the Gayheart analysis] and provided good reasons for not according controlling weight to Dr. Winkhart's April 2011 assessment.”)
. Dyer v. Soc. Sec. Admin., 568 Fed.Appx. 422 (6th Cir. 2014).
. Id. at 425-26.
.Id.
. Francis v. Comm’r of Soc. Sec., 414 Fed.Appx. 802, 804-05 (6th Cir. 2011).
. Brasseur v. Comm’r of Soc. Sec., 525 Fed.Appx. 349, 350 (6th Cir. 2013) (citing Gayheart, 710 F.3d at 376).
. Dyer, 568 Fed.Appx. at 426-428.
. Id. at 427-28 (citation omitted).
. Tr. at 20.
. Id.
. ECF # 18 at 13.
. ECF 15 at 5.
. Id. (citing ECF # 14 at 2).
. Id. at 6.
.Id.
. Dyer, 568 Fed.Appx. at 426-28.
. ECF# 15 at 6-10.
. Warner v. Comm’r of Soc. Sec., 375 F.3d 387, 390 (6th. Cir. 2004) (internal citations omitted).
. Tr. at 18.
. Id. at 19.
. Id. at 18.
. Id. at 18-19.
. Id. at 19.
. Id. at 21.
. ECF #15 at 9.
. Id. at 10.
. Buxton, 246 F.3d at 772.
. ECF # 14 at 3 (citing record).
. Tr. at 21.
Reference
- Full Case Name
- Diane AIELLO-ZAK v. COMMISSIONER OF SOCIAL SECURITY
- Cited By
- 4 cases
- Status
- Published