Jоshua Ray LANIGAN, Plaintiff-Appellant, v. Nancy A. BERRYHILL, Acting Commissioner of Social Security, Defendant-Appellee.
No. 16-2894
United States Court of Appeals, Seventh Circuit.
Argued April 26, 2017. Decided July 26, 2017. Opinion Issued July 31, 2017.
861 F.3d 647
There is no reason why Wisconsin and the federal government could not both have addressed this problem: оverlapping state and federal laws are nothing new. Section 1591 is a statute designed to protect minors—even one minor—from forced participation in the sex trade. The facts to which Wearing stipulated are sufficient to support his conviction and the district court made no error of law, and so we AFFIRM the judgment of the district court.
Joshua Ray LANIGAN, Plaintiff-Appellant, v. Nancy A. BERRYHILL, Acting Commissioner of Social Security, Defendant-Appellee.
No. 16-2894
United States Court of Appeals, Seventh Circuit.
Argued April 26, 2017
Decided July 26, 2017
Opinion Issued July 31, 2017*
Richard D. Humphrey, Attorney, Office of the United States Attorney, Madison, WI, Eric Truett, Attorney, Social Security Administration, Office of the General Counsel, Chicago, IL, for Defendant-Appellee.
Before WOOD, Chief Judge, and RIPPLE and SYKES, Circuit Judges.
SYKES, Circuit Judge.
Joshua Lanigan injured his back at his job in 2009. That same year he hurt his neck in a car accident, and in 2011 he was diagnosed with diabetes. Since then his medical impairments have been complicated by mental illness. Lanigan applied for Supplemental Security Income and Disability Insurance Benefits in March 2012 when he was 38 years old. An Administrative Law Judge (“ALJ“) found his physical and mental impairments to be severe but not disabling and denied benefits. The Appeals Council denied review, and the district court upheld the ALJ‘s decision. See
I. Background
Lanigan asserts that he became disabled in May 2009 after injuring his lower back while working as a general laborer. He received worker‘s compensation for that injury and tried various forms of physical therapy, but none proved to be effective. Eventually he was diagnosed with degenerative disc disease in his lower back. In
After Lanigan learned of his diabetes diagnosis, he fell into a state of depression, anxiety, and suicidal preoccupation. He explained to a psychiatrist that he has an “ingrained fear of diabetes” because as a child he watched his grandfather struggle with and eventually die from the disease. In January 2012, a month after receiving the diagnosis, Lanigan reported to his physician that he had been in a “very low mood,” rarely leaving his apartment, and “sitting for hours at a time with a loaded pistol on his lap.” The following year after a psychiatric evaluation, Lanigan‘s treating psychiatrist documented a history of alcohol abuse, bipolar affective disorder, major depression, attention deficit/hypеractivity disorder, oppositional defiant disorder, and kleptomania. The psychiatrist also noted that Lanigan had complained of intermittent episodes of visual hallucinations in which he saw animals or people in his periphery and five- to ten-minute episodes of palpitations, sweating, and tremors when in public places or in the midst of family members. Lanigan attributes the episodes to his belief that he is being stigmatized because he is mentally ill.
In addition to the stress of being diagnosed with diabetes, Lanigan‘s inability to maintain full-time work has also contributed to his anxiety. He and his wife divorced in 2009, and in 2012 he moved in with his mother and stepfather after being evicted from his apartment. In the months following that move, Lanigan complained to his psychiatrist about the added stress of living with his verbally abusive stepfather, prompting the doctor to opine that the living arrangement had “been tough on him” and that “a lot of his pain and stress level would be improved ultimately if he can acquire the finances to get his own living quarters back.”
In June 2012, three months aftеr applying for benefits, Lanigan was examined by a state-agency psychologist who concluded that he suffers from severe affective and anxiety disorders. Lanigan told the psychologist that he “can only pay attention for a few minutes” and is limited in his ability to “complete tasks, concentrate, understand, follow instructions, and get along [with] others.” Based on her examination, the psychologist concluded that Lanigan‘s mental impairments could cause moderate limitations in his ability to (1) understand, remember, and сarry out detailed instructions; (2) maintain attention and concentration for extended periods; (3) perform activities within a schedule, maintain regular attendance, and be punctual; and (4) work in coordination with or in proximity to others without being distracted by them. A second state-agency psychologist who reviewed Lanigan‘s file several months later agreed with the first doctor about the limitations caused by Lanigan‘s mental illness.
One feature of Lanigan‘s mental illness is unmentioned in the evaluations of the state-agеncy psychologists—apparently because the problem did not arise until 2013. That year Lanigan began experiencing recurring blackout episodes. In June he was hospitalized on an involuntary, emergency basis after being arrested for shooting out windows with a BB gun. At the hospital he claimed he could not recall his actions. When Lanigan was admitted, a
At his hearing before the ALJ in December 2013, Lanigan testified about his mental-health limitations. He described having difficulty in social situations and said he cannot go to a grocery store without first taking medication or having someone with him to help in case of a panic attack. He also briefly testified about his stay in the hospital in July 2013 and other blackout episodes when he would “not remember what I was doing.” He said, “I‘ve had episodes where [I‘m] sitting down at dinner with my family, they start fighting, it‘s 6:00 in the evening and next thing I know I‘m sitting in my room and it‘s 9:45 and I don‘t remember anything.”
When asked about his current employment, Lanigan testified that as of the date of the hearing, he had been working part-time at Michaels craft store for five to six weeks on the truck crew—unloading the truck, stocking the store, and setting up displays. He described his limited interactions with customers as “very stressful” and said he must have another employee present with him when he encounters customers. Lanigan testified that even his five-hour shifts three or four days a week are hard but said his coworkers “arе really nice” and make him “feel comfortable.” He also explained that he excuses himself three to five times during each shift, sometimes for up to 20 minutes, so that he can retreat to the bathroom and get his emotions “in check.” He said his boss knows his situation “so she‘s tolerant of it.”
A vocational expert also testified. The ALJ asked him to assess whether competitive employment would be available to a person with the following hypothetical residual functional capacity (“RFC“): capablе of performing low-stress jobs constituting light work so long as those jobs involve only routine tasks; does not require more than occasional interaction with coworkers or the public; does not involve piece work or a rapid assembly line; is limited to occasional stooping, crouching, kneeling, or crawling; and can be off task up to 10% of the workday in addition to regularly sched-
The ALJ applied the five-step analysis for assessing disability, see
In assessing Lanigan‘s RFC, the ALJ found Lanigan‘s testimony to be “generally credible” but rejected his statements concerning the intensity, persistence, and limiting effects of his mental illness. The ALJ reasoned that although Lanigan described severe problems being in public, he “actually works in a retail store[] about 15-22 hours а week” and has sustained other work that would require some social interaction “with no evidence that the work activity caused his symptoms to flare-up or made him need emergency treatment.” The ALJ also noted that while the record provides “some support” for Lanigan‘s testimony about his social limitations and anxiety in public, Brian Eggener, a treating psychiatrist, had assigned a GAF score of 65 to 70 in March 2012. This means, the ALJ posited, that Lanigan has only mild symptoms and limitations. And even when Lanigan was having suicidal ideations, thе ALJ noted, his GAF score was 71 upon discharge from the hospital. Moreover, the ALJ asserted, the physician who approved Lanigan‘s release said he was not showing signs of depression or anxiety. The ALJ commented that the record lacks “opinions from treating or examining physicians indicating that the claimant is disabled or even has limitations greater than those determined in this decision,” and said he placed “great weight on the opinions of the State agency medical consultants that the claimant сan sustain light to medium work” because those opinions are “consistent with the record as a whole.” The ALJ concluded that Lanigan‘s RFC matched the hypothetical given to the vocational expert. At step 4, then, the ALJ found that Lanigan could not perform his past work but at step 5 concluded that he could work one of the jobs identified by the vocational expert.
Because the Appeals Council denied review, the ALJ‘s decision is the final word of the Commissioner of Social Security. Scrogham v. Colvin, 765 F.3d 685, 695 (7th Cir. 2014). The district court‘s decision is reviewed de novo, so we‘re directly reviewing the ALJ‘s decision. See Yurt v. Colvin, 758 F.3d 850, 856 (7th Cir. 2014). We will uphold that dеcision if it is supported by substantial evidence in the record. Moore v. Colvin, 743 F.3d 1118, 1120-21 (7th Cir. 2014).
On appeal Lanigan argues that the hypothetical RFC posed to the vocational expert—“hypothetical” in name only because the ALJ assigned that very same RFC to Lanigan—is flawed and caused the vocational expert to overstate the available jobs that Lanigan can perform. Lanigan identifies two flaws: First, the ALJ failed to lay a foundation for certain limitations described in the hypothetical, including that he might be off task uр to 10% of the workday (but not more) and that he is able to maintain “frequent” (rather than just “occasional“) contact with coworkers and the public. Second, Lanigan says, the hypothetical failed to account for his moderate limitations in concentration, persistence, and pace. See O‘Connor-Spinner v. Astrue, 627 F.3d 614, 619-20 (7th Cir. 2010).
We agree with Lanigan that the ALJ‘s hypothetical is not supported by substantial evidence. See Ehrhart v. Sec‘y of Health & Human Servs., 969 F.2d 534, 540 (7th Cir. 1992) (stating the rule that a hypothetical question must be supported by medical evidence in the record). The ALJ instructed the vocational expert to evaluate a hypothetical person who would “be off task up to 10% of the work day, in addition to regularly scheduled breaks.” Significantly, the vocational expert testified that persons who will be off task less than 10% of the workday are capable of maintaining full-time employment. But those who will be off task more than 10% of the time, the expert acknowledged, will be incapable of maintaining competitive employment and thus are disabled. Lanigan argues that the ALJ had no basis to conclude that he wouldn‘t be off task more than 10% of the time, especially given his unrebutted testimony that he was taking unscheduled breaks (sometimes for 20 minutes) three to five times during his five-hour shifts at Michaels. At that rate it‘s likely Lanigan would be off task more than 10% of a typical workday.
The Commissioner responds that the ALJ‘s 10% calculation was supported by the state-agency psychologists, who opined that Lanigan demonstrated adequate ability to sustain concentration and had only moderate—not marked—difficulty in various functional areas. But the Commissioner‘s position is unpersuasive for two reasons. First, the ALJ made no effort to “build an accurate and logical bridge,” see Beardsley v. Colvin, 758 F.3d 834, 837 (7th Cir. 2014), between the “no more than 10%” finding and the psychologists’ general assessment that Lanigan exhibits moderate difficulty in areas like the “ability to maintain attention and concentration for extended periods” and the “ability to perform activities within a schedule.” An ALJ need not address every piece of evidence, but he must estаblish a logical connection between the evidence and his conclusion. O‘Connor-Spinner, 627 F.3d at 618. That did not happen here.
Second, the ALJ did not explain why he gave more weight to the opinions of the state-agency psychologists than he did to Lanigan‘s long-time counselor, Carrie Paisar. Edmund Musholt, one of the reviewing state-agency psychologists, opined that Lanigan‘s claim that he cannot pay attention for more than a few minutes is “only
Further, Dr. Musholt‘s assessment dates to March 2013, before Lanigan‘s involuntary commitment in June 2013, and nothing is said about how long Dr. Lefevre spent examining Lanigan in 2012. In contrast, the records from Paisar, who had been seeing Lanigan weekly or biweekly for roughly two years, recount that in July 2013 Lanigan had “talked about being fearful of what he might do if he gets angry and ‘blacks out‘” again and was “frustrated with not being able to remember time periods.” The counselor‘s opinion is more recent than those of the state-agency consultants, and it corroborates Lanigan‘s own account of serious difficulties with concentration. See Clifford v. Apfel, 227 F.3d 863, 870 (7th Cir. 2000) (“[M]ore weight is generally given to the opinion of a treating physician because of his greater familiarity with the claimant‘s conditions and circumstances.“). Yet the ALJ seized on just one of Lanigan‘s many sessions with Paisar—when Lanigan had reported enjoying a day outdoоrs with a friend—and from that single session concluded that “increasing his activity outside of the house” had improved Lanigan‘s symptoms “rather than caused anxiety attacks or other problems.” That selective reading of two years of treatment notes is not persuasive. See Larson v. Astrue, 615 F.3d 744, 751 (7th Cir. 2010) (having “symptoms that ‘wax and wane’ [is] not inconsistent with a diagnosis of recurrent, major depression“); Bauer v. Astrue, 532 F.3d 606, 609 (7th Cir. 2008) (a claimant with a chronic disease like bipolar disorder “is likely to have better days and worse days,” and even if “half the time she is well enough that shе could work,” she still “could not hold down a full-time job“).
Similarly, the ALJ‘s conclusion that Lanigan could maintain frequent (instead of only occasional) contact with coworkers is not supported by the record. The distinction matters because the vocational expert testified that someone who is limited to occasional contact with coworkers and has the hypothetical‘s other limitations cannot maintain competitive employment. The ALJ reasoned that although Lanigan described severe problems being in public, he “actually works in a retail store[] about 15-22 hours a week” and has sustained other work that would require some social
We have cautioned ALJs not to draw conclusions about a claimant‘s ability to work full time based on part-time employment. See Jelinek v. Astrue, 662 F.3d 805, 812 (7th Cir. 2011) (explaining that a claimant‘s “brief, part-time employment” did not support the conclusion “that she was able to work a full-time job, week in and week out, given her limitations“); Larson, 615 F.3d at 752 (“There is a significant difference between being able to work a few hours a week and having the capacity to work full time.“). That is especially true when, as here, the claimant‘s employer is accommodating him. See Larson, 615 F.3d at 752. At the hearing Lanigan testified that his supervisor at Michaels was aware of his mental illness and “tolerant of it.” Instead of acknowledging the employer‘s commendable generosity, the ALJ assumed that Lanigan‘s work performance was no different than any other employee‘s. Equally troubling, the ALJ failed to mention that Lanigan had been on the job for just six weeks, far too short a time to infer anything about his prospects of maintaining even part-time employment. See Jelinek, 662 F.3d at 812; Larson, 615 F.3d at 752. And, finally, Lanigan‘s testimony directly contradicts the ALJ‘s assertion that his work activity never “caused his symptoms to flare-up.” Lanigan testified that the very purpose of his frequent breaks was to make sure his “emotions [were] in check.” And he said that on Black Friday he “melted down on the floor” and “went in the back for over a half hour just to get away from everybody.”
Thus, as Lanigan contends, the ALJ‘s hypothetical includes assumptions about his RFC that simply lack support in the record. And, as Lanigan further argues, there is a second serious flaw in the hypothetical: it fails to account for his moderate limitations in concentration, persistence, and pace. See O‘Connor-Spinner, 627 F.3d at 619 (“Among the limitations the [vocational expert] must consider are deficiencies of concentration, persistence and pаce.“). We have said that an ALJ must explicitly address those limitations in the hypothetical unless one of three exceptions applies: (1) the vocational expert was independently familiar with the claimant‘s medical file; (2) the hypothetical adequately apprised the vocational expert of the claimant‘s underlying mental conditions; or (3) the hypothetical otherwise accounted for the limitations using different terminology. Id. at 619-20.
None of the exceptions applies here. As for the first, thе Commissioner does not contend that the vocational expert examined Lanigan‘s medical records, even if he might have reviewed information about Lanigan‘s employment history. And though the vocational expert was present when Lanigan testified at the hearing, that testimony was too limited to provide a complete and full picture of his mental limitations. Regarding the next two exceptions, the Commissioner argues that the ALJ‘s hypothetical effectively communicated, in different words, the idea thаt Lanigan had experienced “moderate difficulties in concentration, persistence, or pace.” We cannot agree. The hypothetical begins by positing a person capable of performing “simple, routine, and repetitive tasks.” These terms refer to “unskilled work,” which the regulations define as work that can be learned by demonstration in less than 30 days. See
We have explained that the speed at which work can be learned is unrelated to whether a person with mental impаirments—i.e., difficulties maintaining con-
Additionally, the Commissioner argues that even if the ALJ‘s hypothetical was flawed, Lanigan waived any challenge to it by not objecting to the vocational expert‘s testimony during the hearing. The Commissioner relies on Donahue v. Barnhart, 279 F.3d 441, 446 (7th Cir. 2002), which holds that claimants must raise objections to a vocational expеrt‘s testimony at the hearing. But Lanigan is not challenging the vocational expert‘s testimony. Rather, he is challenging the lack of a substantial basis for the ALJ‘s characterization of Lanigan‘s mental RFC in the hypothetical questions he posed to the vocational expert.
Accordingly, we REVERSE the decision upholding the ALJ‘s denial of benefits and REMAND to the agency for further proceedings.
UNITED STATES of America, Plaintiff-Appellee, v. Deshaun BROWN, also known as Squeak, Kyle Pagan and Gregory Hawthorne, Defendants-Appellants.
Nos. 15-2933, 16-1496 & 16-3149
United States Court of Appeals, Seventh Circuit.
Argued May 18, 2017
Decided July 28, 2017