F I L E D
United States Court of Appeals
Tenth Circuit
UNITED STATES COURT OF APPEALS
JAN 13 1999
FOR THE TENTH CIRCUIT
PATRICK FISHER
Clerk
PATRICIA A. GROOMS,
Plaintiff-Appellant,
v. No. 98-6218
(D.C. No. CIV-96-2038-A)
KENNETH S. APFEL, Commissioner (W.D. Okla.)
of Social Security,
Defendant-Appellee.
ORDER AND JUDGMENT *
Before PORFILIO , BALDOCK , and HENRY , Circuit Judges.
After examining the briefs and appellate record, this panel has determined
unanimously to grant the parties’ request for a decision on the briefs without oral
argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore
ordered submitted without oral argument.
*
This order and judgment is not binding precedent, except under the
doctrines of law of the case, res judicata, and collateral estoppel. The court
generally disfavors the citation of orders and judgments; nevertheless, an order
and judgment may be cited under the terms and conditions of 10th Cir. R. 36.3.
Claimant Patricia A. Grooms appeals from the district court’s order
affirming the decision of the Commissioner of Social Security. In that decision,
the Commissioner denied claimant’s applications for disability benefits under
sections 402(d) (adult child’s benefits) and 423(a) (disability benefits) of Title II
of the Social Security Act. We exercise jurisdiction under 42 U.S.C. § 405(g) and
28 U.S.C. § 1291, and affirm.
Claimant alleges disability as of October 12, 1963 (her date of birth) for the
disability benefits application, see Appellant’s App. at 58, and disability as of
October 12, 1980 (her 17th birthday) for the adult child’s benefits application, see
id. at 62. She contends that she is disabled by virtue of meeting the requirements
of 20 C.F.R. Part 404, Subpart P, Appendix 1, Listings 12.03 (schizophrenic,
paranoid and other psychotic disorders) and 12.06 (anxiety related disorders). See
Appellant’s App. at xxxvii. In 1994 an administrative law judge (ALJ)
determined that claimant met the requirements of those listings and was therefore
eligible for supplemental security income benefits as of January 8, 1993. See id.
at 26. Claimant then filed the applications at bar, asserting that the conditions
that qualified her for disability benefits in 1993 also existed prior to that date. On
August 25, 1995, a second ALJ reviewed claimant’s medical records, work
history, and testimony and determined that claimant was not disabled as of
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March 31, 1986 and/or October 12, 1985, which were her last dates for eligibility
under the respective sections. See id. at 20.
Our review is limited to determining whether the ALJ’s decision is
supported by substantial evidence and comports with relevant legal standards.
See Casias v. Secretary of Health & Human Serv. , 933 F.2d 799, 800-01 (10th
Cir. 1991).
The Secretary has established a five-step sequential evaluation
process for determining whether a claimant is disabled. If a
determination can be made at any of the steps that a claimant is or is
not disabled, evaluation under a subsequent step is not necessary.
Step one determines whether the claimant is presently engaged
in substantial gainful activity. If he is, disability benefits are denied.
If he is not, the decision maker must proceed to step two:
determining whether the claimant has a medically severe impairment
or combination of impairments. This determination is governed by
the Secretary’s severity regulations, 20 C.F.R. §§ 404.1520(c),
416.920(c) (1986), is based on medical factors alone, and,
consequently, does not include consideration of such vocational
factors as age, education, and work experience. Pursuant to the
severity regulations, the claimant must make a threshold showing that
his medically determinable impairment or combination of
impairments significantly limits his ability to do basic work
activities, i.e., “the abilities and aptitudes necessary to do most jobs.”
20 C.F.R. §§ 404.1521(b), 416.921(b) (1986) . Presumptively, if the
medical severity of a claimant’s impairments is so slight that the
impairments could not interfere with or have a serious impact on the
claimant’s ability to do basic work activities, irrespective of
vocational factors, the impairments do not prevent the claimant from
engaging in substantial gainful activity.
....
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Step three “determines whether the impairment is equivalent to
one of a number of listed impairments that the Secretary
acknowledges are so severe as to preclude substantial gainful
activity,” pursuant to 20 C.F.R. §§ 404.1520(d), 416.920(d) (1986).
If the impairment is listed and thus conclusively presumed to be
disabling, the claimant is entitled to benefits. If not, the evaluation
proceeds to the fourth step, 20 C.F.R. §§ 404.1520(e), 416.920(e)
(1986), where the claimant must show that the “impairment prevents
[him] from performing work he has performed in the past.” If the
claimant is able to perform his previous work, he is not disabled.
Williams v. Bowen , 844 F.2d 748, 750-51 (10th Cir.1988) (additional quotations
and citations omitted). Claimant argues that the ALJ made three errors: (1) at
step three he rejected without good cause Dr. Aurora Cortez-Sy’s (claimant’s
treating physician) diagnoses in 1993-1995 of mental impairment and refused to
consider whether her diagnosis was pertinent evidence of claimant’s mental
impairments in 1985 and 1986; (2) at step four he interposed his own “medical
expertise” regarding claimant’s residual functioning capacity and his findings in
that regard are not supported by substantial evidence; and (3) at step four he
failed to apply the correct legal standards in deciding whether claimant had the
functional capacity in 1985 to engage in substantial gainful activity.
A review of the ALJ’s decision shows that he did consider Dr. Cortez-Sy’s
diagnosis. He determined, however, that some of Dr. Cortez-Sy’s findings were
not supported in claimant’s medical or historical records, and in fact were
contradicted by other medical and psychological reports. See Appellant’s App. at
22-25. Dr. Cortez-Sy’s opinion that claimant has been disabled because of her
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mental condition since the age of twenty or before arises from her review of a
psycho social evaluation for claimant prepared on January 27, 1984. See id. at
239. In that report, a “psychological assistant” expressed claimant’s “presenting
problem” as “social isolation - no friends, no out-of-house activities, little
interaction with family.” See id. at 240. He observed that claimant had “lots of
early responsibility in caring for sibs, both after school and at night;” that she had
graduated from high school and completed a cashier’s training program; and that
she had held a series of jobs that were each of short duration. See id. at 240-41.
He reported that she had left those jobs “due to hassels [sic], those received and
those witnessed.” He found claimant to be “[w]ell-oriented, memory vague,
thought context somewhat mature and child like, no evidence of delusions or
hallucinations.” Id. at 241.
Upon review of the listings, 1
we conclude that the ALJ had good cause to
1
In order to meet the listing under 12.03, a claimant must have “psychotic
features with deterioration from a previous level of functioning” with “medically
documented persistence” of at least one of the following: delusions;
hallucinations; catatonic or other grossly disorganized behavior; or incoherence,
loosening of associations, illogical thinking, or poverty of content of speech
associated with either blunt, flat, or inappropriate affect or emotional withdrawal
or isolation. 20 C.F.R. Pt. 404, Subpt. P., App. 1, Listing 12.03. These symptoms
must result in “marked restriction of activities of daily living; or . . . [m]arked
difficulties in maintaining social functioning; or [d]eficiencies of concentration,
persistence or pace resulting in frequent failure to complete tasks in a timely
manner; or . . . repeated episodes of deterioration or decompensation in work or
work-like settings . . . .” Alternatively, the claimant may show “[m]edically
(continued...)
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reject Dr. Cortez-Sy’s opinion rendered in 1995 that claimant also met the
listings for schizophrenic, paranoid, psychotic, or anxiety disorders at age twenty
based on the report prepared in 1984. Claimant did not present any other medical
evidence documenting a severe mental disorder in 1985-86.
The ALJ found that, while
claimant did have a personality problem which would be classified as
severe on or prior to the date that she reached age 22 or the date that
she was last insured for disability insurance benefits on March 31,
1986, . . . she was still able to function reasonably well in the
environment in which she lived . . . including holding a variety of
1
(...continued)
documented history of one or more episodes of acute symptoms, signs and
functional limitations” that result in repeated episodes of deterioration or “two or
more years of inability to function outside of a highly supportive living situation.”
Id.
In order to meet listing 12.06, the claimant must show “medically
documented findings” of generalized persistent anxiety accompanied by at least
one of the following: three out of four of the following signs or symptoms: motor
tension, autonomic hyperactivity, apprehensive expectation, or vigilance and
scanning; or by “a persistent irrational fear of a specific object, activity, or
situation which results in a compelling desire to avoid the dreaded object,
activity, or situation”; or by recurrent severe panic attacks occurring on the
average of at least once a week; or by recurrent obsessions or compulsions which
are a source of marked distress; or by recurrent and intrusive recollections of a
traumatic experience that are a source of marked distress. 20 C.F.R. Pt. 404,
Subpt. P., App. 1, Listing 12.06. These symptoms must result in at least two of
the following: marked restriction of activities of daily living, marked difficulties
in maintaining social functions, deficiencies of concentration, persistence or pace
resulting in frequent failure to complete tasks in a timely manner, or in repeated
episodes of deterioration that cause withdrawal from the situation or exacerbation
of signs and symptoms; or they must result in “complete inability to function
independently outside the area of one’s home.” Id.
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jobs which would have to be classified as engaging in substantial
gainful activity even though the claimant worked only for short
periods.
Appellant’s App. at 27-28.
Thus, the ALJ actually made a step-two finding that claimant failed to make
a prima facie showing that she had a mental condition in 1985 or 1986 that was so
severe that it “significantly limit[ed] h[er] ability to do basic work activities.”
Williams , 844 F.2d at 751. It is undisputed that claimant worked in a variety of
jobs during that time and also babysat for her cousin’s child for two years and
took care of her grandparents between 1986 and 1992. See Appellant’s App. at
155. Because claimant failed to make the threshold showing that her impairments
in 1985-86 were severe enough to interfere with her ability to do basic work
activities, there was no need for the ALJ to continue to the next steps in the
evaluative process. See Williams , 844 F.2d at 751 (“If [at step two] the claimant
is unable to show that his impairments would have more than a minimal effect on
his ability to do basic work activities, he is not eligible for disability benefits.”).
There is therefore also no need to address claimant’s assertions of error allegedly
made by the ALJ during step four of the process. The ALJ’s finding that
claimant’s personality disorder in 1985-86 did not prevent her from being able to
perform basic work activities is supported by substantial evidence in the record,
and we hold that the ALJ used the proper legal standards in arriving at that
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conclusion.
The judgment of the United States District Court for the Western District of
Oklahoma is AFFIRMED.
Entered for the Court
John C. Porfilio
Circuit Judge
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