Keeney v. Social Security Administration Commissioner, No. 4:2010cv04051 - Document 12 (W.D. Ark. 2011)

Court Description: MEMORANDUM OPINION. Signed by Honorable Barry A. Bryant on September 1, 2011. (cap)

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IN THE UNITED STATES DISTRICT COURT WESTERN DISTRICT OF ARKANSAS TEXARKANA DIVISION JENNIFER A. KEENEY vs. PLAINTIFF Civil No. 4:10-cv-04051 MICHAEL J. ASTRUE Commissioner, Social Security Administration DEFENDANT MEMORANDUM OPINION Jennifer Keeney ( Plaintiff ) brings this action pursuant to § 205(g) of Title II of the Social Security Act ( The Act ), 42 U.S.C. § 405(g) (2010), seeking judicial review of a final decision of the Commissioner of the Social Security Administration ( SSA ) denying her applications for Disability Insurance Benefits ( DIB ), Supplemental Security Income ( SSI ) and a period of disability under Titles II and XVI of the Act. The parties have consented to the jurisdiction of a magistrate judge to conduct any and all proceedings in this case, including conducting the trial, ordering the entry of a final judgment, and conducting all post-judgment proceedings. ECF No. 5.1 Pursuant to this authority, the Court issues this memorandum opinion and orders the entry of a final judgment in this matter. 1. Background: Plaintiff protectively filed applications for DIB and SSI on April 12, 2007. (Tr. 80-93). Plaintiff alleged she was disabled due to borderline personality disorder, bipolar, and attention deficit hyperactivity disorder. (Tr. 134). Plaintiff alleged an onset date of October 31, 2006. (Tr. 134). These applications were denied initially and again upon reconsideration. (Tr. 51-60, 63-66). 1 The docket numbers for this case are referenced by the designation ECF No. ____ The transcript pages for this case are referenced by the designation Tr. 1 Thereafter, Plaintiff requested an administrative hearing on her applications, and this hearing request was granted. (Tr. 67-75). Plaintiff s administrative hearing was held on December 18, 2008, in Texarkana, Arkansas. (Tr. 21-44). Plaintiff was present but was not represented by counsel at this hearing. Id. Plaintiff, her Grandfather J. C. Dyer, and Vocational Expert ( VE ) Nancy Hughes, testified at this hearing. Id. At the time of this hearing, Plaintiff was thirty-one (31) years old, which is defined as a younger person under 20 C.F.R. § 404.1563(c), graduated from high school and had obtained an associates degree in Business Management. (Tr. 26). On September 3, 2009, the ALJ entered an unfavorable decision denying Plaintiff s applications for DIB and SSI. (Tr. 12-20). In this decision, the ALJ determined the Plaintiff met the insured status through June 12, 2012. (Tr. 14, Finding 1). The ALJ determined Plaintiff had not engaged in Substantial Gainful Activity ( SGA ) since October 31, 2006. (Tr. 14, Finding 2). The ALJ determined Plaintiff had the severe impairment of bipolar disorder, borderline personality disorder, and attention deficit hyperactivity disorder. (Tr. 14, Finding 3). The ALJ also determined Plaintiff s impairments did not meet or medically equal the requirements of any of the Listing of Impairments in Appendix 1 to Subpart P of Regulations No. 4 ( Listings ). (Tr. 14, Finding 4). In this decision, the ALJ evaluated Plaintiff s subjective complaints and determined her RFC. (Tr. 16-18, Finding 5). First, the ALJ evaluated Plaintiff s subjective complaints and found her claimed limitations were not entirely credible. Id. Second, the ALJ determined Plaintiff retained the RFC to perform the full range of work at all levels, with limitations of: (1) limited to work where interpersonal contact is routine but superficial; (2) complexity of tasks is learned by rote, limited 2 judgment required; and (3) requires little supervision for routine tasks but detailed supervision for non-routine tasks Id. The ALJ evaluated Plaintiff s Past Relevant Work ( PRW ). (Tr.18, Finding 6). The ALJ determined Plaintiff had no PRW. Id. The ALJ did, however, find Plaintiff retained the ability to perform other work existing in significant numbers in the national economy. (Tr. 19-20, Finding 10). The ALJ based this finding upon the testimony of the VE. Id. Specifically, the VE testified in response to a question from the ALJ that a hypothetical individual with Plaintiff s limitations retained the ability to perform work as a janitor with 13,000 such jobs in Arkansas and 1,700,000 in the national economy, and poultry worker with 10,000 such jobs in Arkansas and 200,000 in the national economy. Id. The ALJ then determined Plaintiff had not been under a disability, as defined by the Act, from October 31, 2006 through the date of his decision. (Tr. 20, Finding 11) Thereafter, Plaintiff requested the Appeals Council review the ALJ s unfavorable decision. (Tr. 5). See 20 C.F.R. § 404.968. The Appeals Council declined to review this unfavorable decision. (Tr. 1-3). On April 13, 2010, Plaintiff filed the present appeal. ECF No. 1. The Parties consented to the jurisdiction of this Court on April 15, 2010. ECF No. 5. Both Parties have filed appeal briefs. ECF Nos. 10-11. This case is now ready for decision. 2. Applicable Law: In reviewing this case, this Court is required to determine whether the Commissioner s findings are supported by substantial evidence on the record as a whole. See 42 U.S.C. § 405(g) (2006); Ramirez v. Barnhart, 292 F.3d 576, 583 (8th Cir. 2002). Substantial evidence is less than a preponderance of the evidence, but it is enough that a reasonable mind would find it adequate to support the Commissioner s decision. See Johnson v. Apfel, 240 F.3d 1145, 1147 (8th Cir. 2001). 3 As long as there is substantial evidence in the record that supports the Commissioner s decision, the Court may not reverse it simply because substantial evidence exists in the record that would have supported a contrary outcome or because the Court would have decided the case differently. See Haley v. Massanari, 258 F.3d 742, 747 (8th Cir. 2001). If, after reviewing the record, it is possible to draw two inconsistent positions from the evidence and one of those positions represents the findings of the ALJ, the decision of the ALJ must be affirmed. See Young v. Apfel, 221 F.3d 1065, 1068 (8th Cir. 2000). It is well established that a claimant for Social Security disability benefits has the burden of proving his or her disability by establishing a physical or mental disability that lasted at least one year and that prevents him or her from engaging in any substantial gainful activity. See Cox v. Apfel, 160 F.3d 1203, 1206 (8th Cir. 1998); 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). The Act defines a physical or mental impairment as an impairment that results from anatomical, physiological, or psychological abnormalities which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques. 42 U.S.C. §§ 423(d)(3), 1382(3)(c). A plaintiff must show that his or her disability, not simply his or her impairment, has lasted for at least twelve consecutive months. See 42 U.S.C. § 423(d)(1)(A). To determine whether the adult claimant suffers from a disability, the Commissioner uses the familiar five-step sequential evaluation. He determines: (1) whether the claimant is presently engaged in a substantial gainful activity ; (2) whether the claimant has a severe impairment that significantly limits the claimant s physical or mental ability to perform basic work activities; (3) whether the claimant has an impairment that meets or equals a presumptively disabling impairment listed in the regulations (if so, the claimant is disabled without regard to age, education, and work 4 experience); (4) whether the claimant has the Residual Functional Capacity (RFC) to perform his or her past relevant work; and (5) if the claimant cannot perform the past work, the burden shifts to the Commissioner to prove that there are other jobs in the national economy that the claimant can perform. See Cox, 160 F.3d at 1206; 20 C.F.R. §§ 404.1520(a)-(f). The fact finder only considers the plaintiff s age, education, and work experience in light of his or her RFC if the final stage of this analysis is reached. See 20 C.F.R. §§ 404.1520, 416.920 (2003). 3. Discussion: In her appeal brief, Plaintiff claims the ALJ s disability determination is not supported by substantial evidence in the record. ECF No. 10 at 8-23. Specifically, Plaintiff claims the ALJ erred (1) by failing to find Plaintiff s impairments met or equaled a Listing, (2) in evaluating her RFC, (3) by failing to ask a proper hypothetical of the VE, and (4) in evaluating her subjective complaints. In response, the Defendant argues the ALJ did not err in any of his findings. ECF No. 11. Because this Court finds the ALJ improperly evaluated Plaintiff s RFC, this Court will only address this issue Plaintiff raised. In social security cases, it is important for an ALJ to evaluate a claimant s Global Assessment of Functioning ( GAF ) score in determining whether that claimant is disabled due to a mental impairment. GAF scores range from 0 to 100. Am. Psychiatric Ass n, Diagnostic & Statistical Manual of Mental Disorders (DSM-IV-TR) 34 (4th ed., text rev. 2000). The Eighth Circuit has repeatedly held that GAF scores (especially those at or below 40) must be carefully evaluated when determining a claimant s RFC. See, e.g., Conklin v. Astrue, 360 F. App x. 704, 707 (8th Cir. 2010) (reversing and remanding an ALJ s disability determination in part because the ALJ failed to consider the claimant s GAF scores of 35 and 40); Pates-Fires, 564 F.3d 935, 944-45 (8th Cir. 2009) 5 (holding that the ALJ s RFC finding was not supported by substantial evidence in the record as a whole, in part due to the ALJ s failure to discuss or consider numerous GAF scores below 50). Indeed, a GAF score at or below 40 should be carefully considered because such a low score reflects a major impairment in several areas such as work, family relations, judgment, or mood. Conklin, 360 F. App x at 707 n.2 (quoting Am. Psychiatric Ass n, Diagnostic & Statistical Manual of Mental Disorders (DSM-IV-TR) 34 (4th ed., text rev. 2000)). In the present action, Plaintiff was assessed as having a GAF score of 50 during four of her appointments with Southwest Arkansas Counseling and Mental Health Center on November 6, 2006, March 4, 2007, March 26, 2007, and May 7, 2007. (Tr. 181, 189-190, 200). The ALJ did not discuss these low GAF scores in his opinion other than state Plaintiff was assessed a GAF score of 50. (Tr. 17).2 A GAF score of 50 reflects a serious limitation on a persons ability to perform basic life skills. See Brueggemann v. Barnhart, 348 F. 3d 689, 695 (8th Cir. 2003). It was the ALJ s responsibility to evaluate those GAF scores and make a finding regarding their reliability as a part of the underlying administrative proceeding. See Conklin, 360 F. App x at 707. Plaintiff s noncompliance with treatment can be, and ordinarily is, the result of a mental impairment, and thus is not willful or without a justifiable excuse. Id. At 706. Indeed, it is especially important that the ALJ address low GAF scores where, as in this case, Plaintiff has been diagnosed with bipolar disorder, borderline personality disorder, and attention deficit hyperactivity disorder. (Tr. 252). Thus, considering these facts, because the ALJ did not evaluate Plaintiff s low GAF scores, this case must be reversed and remanded for further evaluation of these scores. Upon remand, the 2 The ALJ incorrectly stated in his decision that Plaintiff s GAF scores never fell below 55 after February 15, 2007. (Tr. 17). 6 ALJ may still find Plaintiff not disabled, however a proper and complete analysis of Plaintiff s GAF scores should be performed.3 4. Conclusion: Based on the foregoing, the undersigned finds that the decision of the ALJ, denying benefits to Plaintiff, is not supported by substantial evidence and should be reversed and remanded. A judgment incorporating these findings will be entered pursuant to Federal Rules of Civil Procedure 52 and 58. ENTERED this 1st day of September, 2011. /s/ Barry A. Bryant HON. BARRY A. BRYANT U.S. MAGISTRATE JUDGE 3 Based on these findings, I do not find it necessary to reach to other points of error raised by the Plaintiff in this appeal. 7

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