6:24-cv-01239•Case Name in Social Security Case - Unavailable
Gesamter Gesetzestext
IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS TROY M.,1 ) ) Plaintiff, ) ) CIVIL ACTION v. ) ) No. 24-1239-JWL FRANK BISIGNANO,2 ) Commissioner of Social Security, ) ) Defendant. ) ______________________________________) MEMORANDUM AND ORDER Plaintiff seeks review of a decision of the Commissioner of Social Security denying Social Security Disability Insurance (SSDI) benefits pursuant to sections 216(i) and 223 of the Social Security Act, 42 U.S.C. §§ 416(i) and 423 (hereinafter the Act). Finding no mental impairments, the court ORDERS that judgment shall be entered pursuant to the fourth sentence of 42 U.S.C. § 405(g) AFFIRMING final decision. I. Background 1 interest of protecting the privacy interests of disability claimants, it has determined to caption Social Security decisions last name. 2 On May 7, 2025, Mr. Bisignano was sworn in as Commissioner of Social Security. In accordance with Rule 25(d)(1) of the Federal Rules of Civil Procedure, Mr. Bisignano is substituted for Acting Commissioner Lee Dudek as the defendant. Pursuant to the last sentence of 42 U.S.C. § 405(g), no further action is necessary. Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 1 of 18
2 Plaintiff protectively filed an application for SSDI benefits on November 23, 2022. (R. 14, 237-39). After exhausting administrative remedies before the Social Security Administration (SSA), Plaintiff filed this case seeking judicial review of the 405(g). Plaintiff claims the ALJ failed adequately to evaluate the impact of functional capacity (RFC). (Pl. Br. 7-14). Wall v. Astrue, 561 F.3d 1048, 1052 findings of the Commissioner as to any fact, if supported by substantial evidence, shall be 405(g). The court must determi findings are supported by substantial evidence in the record and whether she applied the correct legal standard. Lax v. Astrue, 489 F.3d 1080, 1084 (10th Cir. 2007); accord, White v. Barnhart, 287 F.3d 903, 905 (10th Cir. 2001). Substantial evidence s to the weight, not the quantity, of the evidence. It requires more than a scintilla, but less than a preponderance; it is only Richardson v. Perales, 402 U.S. 389, 401 (1971); see also, Wall, 561 F.3d at 1052; Gossett v. Bowen, 862 F.2d 802, 804 (10th Cir. 1988). ust find that the evidence not only supports [a contrary] conclusion, but compels it I.N.S. v. Elias- Zacarias, 502 U.S. 478, 481, n.1 (1992) (emphases in original). Bowman v. Astrue, 511 F.3d 1270, 1272 (10th Cir. 2008) (quoting Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 2 of 18
3 , 933 F.2d 799, 800 (10th Cir. 1991)); accord, Hackett v. Barnhart, 395 F.3d 1168, 1172 (10th Cir. 2005); see also, Bowling v. Shalala, nor try the issues de novo Harrell v. Bowen, 862 F.2d 471, 475 (5th Cir. 1988) (brackets in Bowling)). Nonetheless, the determination whether substantial evidence supports the substantial if it is overwhelmed by other evidence or if it constitutes mere conclusion. Gossett, 862 F.2d at 804-05; Ray v. Bowen, 865 F.2d 222, 224 (10th Cir. 1989). The Commissioner uses the familiar five-step sequential process to evaluate a claim for disability. 20 C.F.R. § 404.1520; Wilson v. Astrue, 602 F.3d 1136, 1139 (10th Cir. 2010) (citing Williams v. Bowen determination can be made at any of the steps that a claimant is or is not disabled, Wilson, 602 F.3d at 1139 (quoting Lax, 489 F.3d at 1084). In the first three steps, the Commissioner determines whether claimant has engaged in substantial gainful activity since the alleged onset, whether he has a severe impairment(s), and whether the severity of his impairment(s) meets or equals the severity of any impairment in the Listing of Impairments (20 C.F.R., Pt. 404, Subpt. P, App. 1). Williams, 844 F.2d at 750-51. After evaluating step three, the Commissioner RFC. 20 C.F.R. § 404.1520(e). This assessment is used at both step four and step five of the sequential evaluation process (SEP). Id. Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 3 of 18
4 The Commissioner next evaluates steps four and five of the process determining at step four whether, considering the RFC assessed, claimant can perform his past relevant work; and at step five whether, when also considering the vocational factors of age, education, and work experience, he is able to perform other work in the economy. Wilson, 602 F.3d at 1139 (quoting Lax, 489 F.3d at 1084). In steps one through four the burden is on Plaintiff to prove a disability that prevents performance of past relevant work. Blea v. Barnhart, 466 F.3d 903, 907 (10th Cir. 2006); accord, Dikeman v. Halter, 245 F.3d 1182, 1184 (10th Cir. 2001); Williams, 844 F.2d at 751 n.2. At step five, the burden shifts to the Commissioner to show that there are jobs in the economy which are within the RFC previously assessed. Id.; Haddock v. Apfel, 196 F.3d 1084, 1088 (10th Cir. 1999). The court addresses the errors alleged in . II. Discussion determinable and not severe at step two of the SEP. (Pl. Br. 7). He argues she erred, consider the impact of mental impairments at step four failed to explain why she omitted any limitations accounting for them in the RFC. Id. Plaintiff argues the ALJ erred in finding mental impairments not severe based upon testimony; the treatment records of Licensed Professional Counselor (LPC), Ms. Sweet; the findings of a neuropsychological consultation by Dr. Fuendeling, PhD; and the medical opinion of Ms. Sweet, LPC. Id., 8-10. Plaintiff argues that even if the ALJ properly found his mental impairments not severe at step two of the SEP, Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 4 of 18
5 Wells v. Colvin, 727 F.3d 1061, 1064 (10th Cir. 2013). mental impairments were not severe at step two is not a substitution for a proper RFC analysis. See Mary E. K. v. Kijakazi, No. 21- CV-2373-TC, 2023 WL 4105155, at *3 (D. Kan. June 21, 2023) Wells, 727 F.3d at 1068-1069)). And while a nonsevere s ability to do basic work activities, it may--when considered with limitations or restrictions due to other impairments--be critical to the outcome of a SSR 96-8p, 1996 WL 374184, at *5. The ALJ failed to provide reasons supported by substantial evidence for failing to consider mental impairments at step four. (Pl. Br. 10). Plaintiff argues the ALJ erred in failing to explain how his mental functional limitations were considered in assessing his Mental RFC. Id. regarding physical symptoms and his consideration of daily activities discussed only how was insufficient to offer rationale for omitting any mental limitations from the RFC. Id., 11-12. He recognized the ALJ status consultation but argues error because she also found on Pl -reports without providing an evidentiary basis for that finding. Id. 12. Plaintiff argues the ALJ relied on a selective reading of the report of Dr. less serious findings while ignoring recommendations suggesting significant mental symptoms. (Pl. Br. 12-13). Finally, Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 5 of 18
6 that left the ALJ without sufficient evidence to evaluate the impact of mental impairments on his ability to function fully and fairly develop the record. Id. 14. impairments not severe at step two of the evaluation process and even if there were the error would be harmless because the ALJ considered all assessing RFC and in mental symptoms, his function report, a statement from his wife, his mental health treatment, a neuropsychological evaluation, and a medical opinion as to his mental capacity Id. He argues Plaintiff has not identified any evidence in the record regarding his mental impairments that the ALJ failed to consider. Id. He argues the in assessing RFC and at steps four and five renders any step two error harmless. Id. at 6. He also argues that RFC was adequate for three reasons. First, he argues mild mental limitations assessed in the four broad mental functional areas do not require functional mental RFC limitations. Id. (citing Vigil v. Colvin, 805 F.3d 1199, 1203 (10th Cir. 2015) ( a moderate limitation does not necessarily translate to a work-related functional limitation for purposes of )). He points out that a mild limitation in one of the four broad mental functional areas means functioning in that area is only 20 Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 6 of 18
7 C.F.R., Pt. 404, Subpt. P, App. 1, § 12.00(F)(2)(b); limitations in all four broad mental functional areas mental impairments are not severe. 404.1520a(d)(1)). Second, the Commissioner argues the regulations only require that all the they be specifically discussed in assessing RFC. Id. 9-10 (citing 20 C.F.R. § 404.1545(a)(2)). making it clear such impairments were properly considered Id. 13 (no.3, bold omitted). the ALJ faile is demonstrably symptoms when formulating the RFC Id. 14. He cites the record evidence regarding decision. Id. 14-16. The Commissioner concludes by arguing that Plaintiff has not shown the record evidence compels an outcome Id. 17. In his Reply Brief, Plaintiff reiterates the arguments in his brief. He also argues an ALJ is required to explain how the non-severe mental impairments are considered at step four. Beer v. Kijakazi, No. CIV-20-351-AMG, 2021 WL 3824837, at *3 (W.D. Okla. Aug. 26, 2021)). He argues, clear discussion of how non-severe mental impairments were Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 7 of 18
8 and reports, the ALJ did not cite evidence to explain how the non-severe mental impairments were considered in assessing the RFC. Id., 4-5. He argues the ALJ did not justify failing to provide mental functional limitations speculation that the jobs at step five were sufficient to address mental impairments was impermissible post hoc rationale Id. 5. A. Alleged Step Two Error Plaintiff does not seriously allege error in finding mental impairments not severe at step two of the SEP and the court finds no error. The regulations provide that at step two the SSA will rate the degree of limitation a claimant has in each of the four broad mental functional areas and if the degree of limitation found in each of the areas is will generally conclude that your impairment(s) is not severe, unless the evidence otherwise indicates that there is more than a minimal limitation in your ability to do basic work activities 404.1520a(d)(1). Here, the ALJ found: limitation in any of the functional areas and the evidence does not otherwise indicate that there is more than a minimal non-severe. (R. 19) (underline in original). The ALJ clearly applied the correct legal standard at step two and Plaintiff does not demonstrate that his limitation in any functional area was moderate or greater or that the evidence demonstrates more than a minimal limitation in his ability to perform basic mental work activities. that his testimony; the treatment records of Ms. Sweet; the findings of a neuropsychological Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 8 of 18
9 consultation by Dr. Fuendeling, PhD; and the medical opinion of Ms. Sweet demonstrate that his mental impairments are severe does not cite to evidence which compels a finding of severity. Therefore, it is essentially a request for the court to reweigh the above, the court may not do so. Bowman, 511 F.3d at 1272; Hackett, 395 F.3d at 1172; see also, Bowling, 36 F.3d at 434. B. Alleged Errors in Evaluating RFC Limitations impairments at step four also fails. T made after the step- medically equals the severity of a Listed Impairment and is used at step four to determine if the claimant can do past relevant work and at step five to determine if the claimant can adjust to other work. 20 C.F.R. § 404.1520(a)(4)(iii-v), (e). evidence and his allegations of symptoms discussed only inconsistencies regarding physical activities and daily activities only as related to physical functional limitations. (Pl. Br. 11-12). However, Plaintiff ignores the inconsistencies found by the ALJ in her step two evaluation , wherein she found: mental status [examination] demonstrates limited abnormalities during treatment presentations, and Abnormalities demonstrated during a November 2022 neuropsychological evaluation were also limited, although euthymic mood and evidence of stress with effort was demonstrated; however, the provider recommended lifestyle modifications to include pain relief using something other than cannabis products, as well as counseling Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 9 of 18
10 and insomnia treatment. The claimant testified to limited/no psychotropic medication use because of undesirable side effects. (R. 18) (citations omitted). Discussing the functional area of understanding, remembering, or applying disabling mental limitations completion of four or more years of college in June 2020, with no history of special education participation. He lives independently with his family, and participates in outpatient therapeutic counseling for his symptoms. A November 2022 neuropsychological evaluation yielded findings regarding intellectual functioning in the average range, although mild neurocognitive disorder weakness in attention and some aspects of mental control and organization that fall within executive functioning. Mental status indicates he is alert, oriented, and/or engaged during various encounters. Id., 18-19 (quoting R. 1738, citations omitted). of each of the other three mental functional areas includes identical or similar statements including the abilities to drive, to go outside/leave home alone for up to two hours at a time; shop in stores; and to keep in touch with others in person, on the phone, and via texting. Id. 19. disabling mental impairments and the record evidence occurred in the section of the import. This case is a judicial are not entirely consistent with the medical evidence and other evidence in the record for the reasons explained in this decision. Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 10 of 18
11 in the step two section of the decision are inconsistencies as much as inconsistencies explained in the RFC assessment between the step three and step four sections or in any other section of the decision. Plaintiff acknowledges the ALJ presented inconsistencies between the record the ALJ must address inconsistencies regarding each impairment or at least each class of impairments to discount allegations of symptoms relevant to mental impairments. This court has held previously that the Commissioner must explain his reasons for discounting a claima symptoms but need not provide a basis to discount every alleged symptom. Betsy Mae L. v. Bisignano, Civ. A. No. 24-2467-JWL, 2025 WL 2561293, *5 (D. Kan. August 26, 2025) ((citing this court s decision in Attia D. S. v. O Malley, Civ. A. No. 23-1262-JWL, 2024 WL 4381228, at *6 (D. Kan. Oct. 2, 2024). Moreover, as discussed above the ALJ here also impairments upon which she relied to discount his alleged symptoms, and Plaintiff does not point to evidence compelling a finding of consistency. upon claimant [sic] self-report of symptoms during counseling Plaintiff is correct that an ALJ must have an evidentiary basis to discount a medical -reports. Langley v. Barnhart, 373 F.3d 1116, 1121 (10th Cir. 2004), and Victory v. Barnhart, 121 F. App x 819, 823-24 (10th Cir. 2005). Here, Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 11 of 18
12 -reported symptoms. appears largely based upon claimant self-report of symptoms during counseling, rather than upon observed clinical abnormalities, where rarely the claimant is noted as frustrated in addition to being engaged and cooperative. (R. 26) (citations omitted). Thus, -reports which are presented in the treatment notes rather than observed clinical abnormalities which do not appear in the treatment notes limited abnormalities during treatment presentations showing Plaintiff is engaged and cooperative but, rarely, frustrated. Id. Moreover, the ALJ found the opinion is not consistent with findings during a November 2022 neuropsychological evaluation where abnormalities included euthymic mood and evidence of stress with effort; however, other findings were largely within normal limits and the provider recommended lifestyle modifications to include pain relief using something other than cannabis products, as well as counseling and insomnia treatment to improve functioning. Id. lifestyle modification, counseling, and insomnia treatment while ignoring that suggested significant mental symptoms consistent with reports. (Pl. Br. 12-13). Dr. Fruendeling doctor provided his recommendations in his neuropsychological consultation report: Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 12 of 18
13 Recommendations: 1) Given that attention and memory complaints are currently at a level that can be explained in large part by his regular use of cannabis products, I encourage [Plaintiff] to refrain from regular use of cannabis and find other ways to manage pain instead. 2) Although I have not assigned a formal diagnosis of depression or anxiety, [Plaintiff] describes history of both and indicate[s] moderate to severe levels of current symptomatology. A referral to PCMHI for brief assessment and possible therapeutic intervention might be helpful to his overall functioning, including his cognitive functioning. 3) It seems likely that disrupted or dysregulated sleep is also contributing to cognitive complaints. The effects of insomnia on attention are usually well understood. Notably, narcolepsy or hypersomnia can also impact attention and memory, likely because of the cognitive effort and resources that patients expend trying to maintain alertness. 4) Given the specificity of deficits to language and the possibility of lateralization that this raises, new imaging may be helpful in understanding the etiology underlying his deficits (R. 1004-05, 1754 (duplicate) (bold in original)). explanation of his recommendations as recorded in his discussion with Plaintiff and his wife: Recommendations: 1) Given that attention and memory complaints are currently at a level that can be explained in large part by his regular use of cannabis products, I encourage [Plaintiff] to refrain from regular use of cannabis and find other ways to manage pain instead. Notably, he has tried numerous approaches to pain management, but does not appear to have had CBT for pain. I discussed with him referral to our pain clinic, and he agreed to this. 2) Although I have not assigned a formal diagnosis of depression or anxiety, [Plaintiff] describes history of both and indicate[s] moderate to severe levels of current symptomatology. [Plaintiff and his wife] are currently seeing a counselor in the community. If this is not helpful, [I] suggested that they seek a referral to PCMHI through his PCP. Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 13 of 18
14 3) It seems likely that disrupted or dysregulated sleep is also contributing to cognitive complaints. The effects of insomnia on attention are usually well understood. Notably, narcolepsy or hypersomnia can also impact attention and memory, likely because of the cognitive effort and resources that patients expend trying to maintain alertness. I suggested to the [Plaintiff and his wife] that they discuss with their current counselor whether she is able to provide CBT-I. If she is not, I suggested that they seek CBT-I through the Joplin CBOC. 4) Given the specificity of deficits to language and the possibility of lateralization that this raises, new imaging may be helpful in understanding the etiology underlying his deficits. 5) Now that [Plaintiff] is established with a neurologist in VA and will hopefully have a consistent relationship with her, I also suggest that they pursue a work up for possible seizure activity. While this may not be the most likely etiology for his issues, I think it is worth looking into. (R. 1738-39) (bold in original). The ALJ considered and specifically cited each of these notes recorded by Dr. Fruendeling in his reasons for discounting the opinion of Ms. Sweet. (R. 26) (citing Ex. C15F/78-79, 91-94 (R. 1738-39, 1751-54)). When considered in light of this evidence specifically relied upon by the ALJ, that the psychologist s recommendation: (that a referral to PCMHI might be helpful) and his suggestions: ( issues with organization and variable attention are particularly consistent with the impacts of insomnia or hypersomnia and of mood; that it seems likely that disrupted or dysregulated sleep is also contributing to cognitive complaints; that new imaging may be helpful in understanding the etiology underlying deficits memory difficulty is likely secondary to his attentional trouble, which could be fully explained by his use of marijuana or derivative products, anxiety and mood, or dysregulated sleep, while his language weakness is unlikely to result from those factors, and he may have left temporal Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 14 of 18
15 seizure activity or some related neurological issue that underlies his language difficulty, cataplexy, and migraines) might constitute significant mental symptoms consistent with reports (Pl. Br. 13), is simply without merit. The statements or recommendations cited by Plaintiff are merely Dr. Fruen steps which might be explored if current treatment is not productive, statements of fact which did not significantly affect his diagnoses or recommendations, and speculation regarding potential neurological base that were as severe as Ms. Sweet opined or that Dr. Fruendeling found disabling mental limitations. In other words, Plaintiff has not cited evidence which compels a different finding but essentially asks the court to reweigh the evidence more favorably to his so. Bowman, 511 F.3d at 1272; accord, Hackett, 395 F.3d at 1172; see also, Bowling, 36 F.3d at 434. s left the ALJ without sufficient evidence to evaluate the impact of ] mental impairments on his ability to function (Pl. decision. Plaintiff testified that his mental impairments are disabling and Ms. Sweet similarly opined that his mental impairments are disabling. The Commissioner found inconsistencies in Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 15 of 18
16 finding of insufficient evidence but a finding that the evidence does not support develop the record, Plaintiff points to no evidence which was necessary to the decision at issue and was not secured or developed by the ALJ, and the court finds none. Plaintiff simply did not meet his burden of proof. As noted above, in his Reply Brief Plaintiff argued, the ALJ is required to explain how the non-severe mental impairments are considered at step four. See Beer v. Kijakazi, No. CIV-20-351-AMG, 2021 WL 3824837, at *3-4 mental limitations, and the The ALJ did not attempt to tie any of this evidence to his decision not to (Pl. Reply 2-3). The court acknowledges that non-severe mental impairments must be considered in assessing RFC and in all further steps of the SEP but it does not agree that an ALJ is required to explain how she considered them at step four. In the Beer decision, the court only further statement about Plaintiff's mental impairments was at the end of his Step 2 analysis that Beer, 2021 WL 3824837, at *3. here contains a statement at the end of her step two analysis identical in every respect to the statement quoted above by the Beer court. (R. 19). However, thereafter in her RFC assessment the ALJ makes or oblique as those found by the Beer court. Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 16 of 18
17 clinical abnormalities, was inconsistent with evidence of limited abnormalities during (R. 26). disabling symptoms, specifically noting: Mentally, they are not consistent with limited outpatient counseling for mental impairment; with limited medication use; with neuropsychological evaluation yielding findings regarding intellectual functioning in the average range, although mild neurocognitive disorder and insomnia were diagnosed to some aspects of mental control and organization that fall within executive functioning; mental status findings indicating the claimant is alert, oriented, and/or engaged during various encounters. Id. 27 (citations omitted). The evidence clearly reveals the ALJ considered when assessing his RFC, and in doing so she determined he had no mental functional limitations preventing him from engaging in substantial gainful work activity even when considered in conjunction with his other impairments. She also noted in her step two Id. 19. She was not required to state some additional magic words. Plaintiff has the burden of proof in presenting his functional limitations. To demonstrate he has met that burden before a court, Plaintiff must suggest a mental limitation or limitations which should have been Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 17 of 18
18 assessed and point to record evidence which compels finding that limitation or those limitations. In a case such as this, where the ALJ has applied the correct legal standards and has explained her consideration, any other course is merely asking the court to reweigh the evidence and substitute its judgment for that of the ALJ. IT IS THEREFORE ORDERED that judgment shall be entered pursuant to the fourth sentence of 42 U.S.C. § Dated February 25, 2026, at Kansas City, Kansas. s:/_John W. Lungstrum____ John W. Lungstrum United States District Judge Case 6:24-cv-01239-JWL Document 13 Filed 02/25/26 Page 18 of 18
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