[DO NO T PUBLISH]

IN THE UN ITED STATES COURT OF APPEALS FOR THE ELE VENTH CIRCUIT

__ __ __ __ __ __ __ __ __ __ __ __ No. 1 2- 10 70 4 Non -Arg um en t Ca le nd ar

__ __ __ __ __ __ __ __ __ __ __ __ D.C. Dock etNo. 6 :1 0- cv -0 19 31 -GJK

DELAIZARAH Z GRAGGEN ROSARIO, Pl ai nt iff -Ap pe ll an t, ve rs us COMM ISSI ONER OF SOCIAL SECURITY, Defen da nt -Ap pe ll ee.

__ __ __ __ __ __ __ __ __ __ __ __ App eal fro m

th e Uni te d S ta te s Di st ric t Co urt forth e Mi dd le Dis tri ctof F lo rid a

__ __ __ __ __ __ __ __ __ __ __ __ (Sep te m be r 17 , 20 12 ) Befo re CARNES, WILSON andMARTIN, Ci rcu itJu dg es . PER CURI AM:

Case: 12-10704 Date Filed: 09/17/2012 Page: 1 of 7Dela iz arah Zgra gg enRo sa rio , th ro ug h c ou ns el , app eal s fr om th e d is tri ct co urt’s o rd er af

firm in g the de ci si on by the Adm in is tra ti ve Law Ju dg e (ALJ) de nyin g ape rio d o f di sabi li ty, di sabi li ty ins ur an ce b en efi ts , andso ci al sec ur ity in co m e, pu rs ua ntto 42 U.S.C. §§ 40 5( g) an d 1 38 3( c)(3 ). On ap pe al , Ros ari o arg ue s tha t the ALJ erre d b y acco rd in g l it tl e wei gh t t o h er treat in g p sychi atris t’s m ed ic al op in io ns . Furt he r, Ro sa rio ass ert s tha t the ALJ’s hypo th et ic al qu es ti on to th e v oc at io na l ex pe rt f

ai le d t o a cco un t fo r he r m od erat e li m it at io ns in co nc en tra ti on , per si st en ce, o r pa ce, ev enth ou gh th e ALJ fo un d tha t the y ex is te d. InSo ci al Secu rity

ap pe al s, we re vi ew th e ALJ’s d eci si onas t he Co m m is si on er’s fi na l d eci si onwhen , as i n thi s ca se , th e ALJ d en ie s b en efi ts an d th e App eal s C ou nc il de ni es rev ie w. Dou gh ty v. Apfe l, 2 45 F.3d12 74 , 12 78 (11 th Ci r. 20 01 ). W e rev ie w to de te rm in e “ whe th er the Co m m is si on er’s d eci si on is supp orte d b y

subs tant ia l ev id en ce an d b as edon pro pe r le ga l s tand ard s. Subs tant ia l ev id en ce i s m or e th ana sc in ti ll a an d i s s uc h re le va ntev id en ce as a reas on ab le pe rs on wou ldacce ptas a de qu at e to supp ort a c on cl us io n.” W in sc he l v . Co m m ’r of So c. Sec., 6 31 F.3d11 76 , 11 78 (11 th Cir . 20 11 ) (quo ta ti on m ark s om itte d) . “ W e m ay

no t d eci de th e fac ts an ew, rewei gh th e ev id en ce, o r subs ti tu te ou r jud gm en t fo r th atof t he [Co m m is si on er].” Blo od swo rth v. Heck le r, 70 3 F .2d 12 33 , 12 39 (11 th Cir . 19 96 ). If subs tant ia l ev id en ce s up po rts th e d eci si on we 2 Case: 12-10704 Date Filed: 09/17/2012 Page: 2 of 7m

us t af firm , eve n i f th e p ro of

pre po nd erat es ag ai ns t i t. Mi le s v . Cha te r, 84 F.3d 13 97 , 14 00 (11 th Cir . 19 96 ). Inde te rm in in g wh ethe r a cl ai m an t i s d is ab le d, the ALJ m us t co m pl et e a fiv e-s te p s eque nt ia l ev al ua ti on pro ces s. See 20 C.F.R. § 41 6.9 20 . The cl ai m an t m us t p ro ve fir stth atsh e “ is no t und ert ak in g s ub st an ti al ga in fu l ac ti vi ty” and se co ndth atsh e h as a “ se ve re i m pa irment o r co m

bi na ti on of i m

pa irments .” Dou gh ty, 24 5 F .3dat 1 27 8. “ At s te p thr ee, i f th e cl ai m an t p ro ve s tha t [h er] im pa irment m eet s o ne of t he li st edim pa irments fou ndinApp en di x 1 , [s]he wil l b e co ns id ereddi sabl edwitho utco ns id erat io n o f ag e, educ at io n, an d wo rk ex pe rie nc e.” Id . Oth erwi se , th e cl ai m an t m us t p ro ceedto st ep fou r an d p ro ve th at , bas edona res idua l fu nc ti on al cap aci ty ass es sm en t, h er i m pa irment p rev en ts he r fro m pe rfo rm in g a ny of h er p as t re le va ntwork . W in sc he l, 6 31 F.3dat 1 17 8; Dou gh ty, 24 5 F .3dat 1 27 8. Atth e fi fth st ep , th e b ur de n s hi fts to th e Co m m is si on er an d the ALJ m us t the n d et erm in e if

th ere i s o th er wo rkav ai labl e in si gn ifi can t num

be rs inth e n at io na l ec on omy th atth e cl ai m an t ca n p erfo rm . Dou gh ty, 24 5 F .3dat 1 27 8 & n.2 . In d oi ng so , th e ALJ re li es on th e cl ai m an t’s res idua l fu nc ti on al cap aci ty, ag e, educ at io n, an d wo rkex pe rie nc e. Id . If th e Co m m is si on er d em on st rat es th atth ere a re job s tha t the cla im an t ca n p erfo rm , th e cl ai m an t m

us t p ro ve th atsh e is un ab le to pe rfo rm th os e job s i n o rd er t o b e fo un d 3 Case: 12-10704 Date Filed: 09/17/2012 Page: 3 of 7di sabl ed . See i d. at12 78 n.2 . I.

Ro sa rio fir starg ue s tha t the ALJ erre d b y acco rd in g l it tl e wei gh t t o the op in io ns of h er treat in g p sychi atris t, Dr. Kirm an i. Weig hi ng th e o pi ni on s an d fin di ng s o f tr eat in g, ex am in in g, an d n on -ex am in in g p hysic ians is anim po rtantpa rt of st ep s fo ur

an d fi ve of t he di sabi li ty det erm in at io n p ro ces s. Inreac hi ng a de ci si on th e ALJ m

us t s pe ci fy

th e wei gh t g iv ento di ffer en t m ed ic al op in io ns an d th e rea so ns fordo in g s o. Se e W in sc he l, 6 31 F.3dat 1 17 9. Ab se ntgo odcau se , th e ALJ m us t g iv e subs tant ia l o r co ns id erab le weig htto th e o pi ni on s o f tr eat in g ph y si ci an s. Wins ch el , 63 1 F .3dat 1 17 9. A n on -ex am in in g p hysic ian’s o pi ni on is en ti tl edto li tt le weig htif i t i s co nt rary to the tre at in g o r ex am in in g p hysic ian’s fin di ng s u nl es s g oo d c au se is fou nd . See Lam b v . Bowe n, 8 47 F.2d69 8, 7 03 (1 1t h C ir. 1 98 8) ; Br ou gh to n v . Heck le r, 77 6 F .2d96 0, 9 62 (11 th Cir . 19 85 ).

“ Goo d c au se ex is ts when th e: (1) tre at in g p hysic ian’s o pi ni on was n ot bo ls te redby the ev id en ce; (2) ev id en ce s up po rte d aco nt rary fin di ng ; o r (3 ) tre at in g p hysic ian’s o pi ni on was c on cl us ory or i nc on si st en t wi th th e d oc to r’s own m ed ic al reco rd s.” Win sc he l, 6 31 F.3dat 1 17 9 (quo ta ti on m ark s o m it te d) . W e ha ve fou ndgo odcau se wher e, am on g o th er thi ng s, the tre at in g p hysic ian m ad e co nc lu so ry

st at em en ts reg ard in g the cla im an t’s i nabi li ty to wo rkwitho utan y 4 Case: 12-10704 Date Filed: 09/17/2012 Page: 4 of 7di sc us si on of wh y th e d is ab il ity

m ad e itim

po ss ib le for

th e cl ai m an t t o b e g ai nf

ul ly em pl oyed o r th e n atur e o r pe rm an en ce o f th e d is ab il ity . See J oh ns v. Bo wen , 82 1 F.2 d 5 51 , 55 5 (1 1t h C ir. 1 98 7) . Whe n the ALJ d is reg ard s a t reat in g p hysic ian’s op in io n wi th go odcau se , sh e m us t cl earl y

art ic ul at e th e rea so ns fordo in g s o. W in sc he l, 6 31 F.3dat 1 17 9. The ALJ d idno t err in gi vi ng li tt le weig htto Dr. Kim an i’s o pi ni on s tha t Ro sa rio was unabl e to work . The ALJ c le arl y in di cat edth atsh e g av e li tt le weig ht to Dr. Kim an i’s o pi ni on s b ecau se th ey were i nc on si st en t wi th Kim an i’s o wn fin di ng s, n ot es fro m

th e tr eat m en t p lan, an d the ov eral l m ed ic al ev id en ce. As an ex am pl e, th e ALJ h ig hl ig ht eda m ed ic al rep ort i n wh ic h Dr. Ki m an i co nc lu de d th atRo sa rio ’s con cen tra ti onwas s li gh tl y im pa ire d a ndth atsh e “ m ay

be ab le to work i n ali m it edset ti ng .” Inth e sa m e rep ort Dr. Kimani c on cl ud edth atRo sa rio was in cap ab le of s us ta in in g “ work a ct iv ity foreig htho ur s a d ay , fiv e d ay s a week .” Dr. Kim an i p ro vi de d n o e xp lana ti on forth es e se em in gl y co nt rad ic to ry fin di ng s, the reb y

cas ti ng “ do ub t” on Ro sa rio ’s in ab il ity to work . See Edward s v . Su ll iv an , 93 7 F .2d58 0, 5 83 –4 (11 th Cir . 19 91 ) (h ol di ng th atth ere was go odcau se fo r th e ALJ n otto rel y

ona tr eat in g p hysic ian’s o pi ni on s wh enth ere wer e un ex pl ai ne d, i nt ern al in co ns is te nc ie s) . The i nc on si st en cy of Dr. Ki m an i’s op in io ns with h is ownfin di ng s an d the ov eral l m ed ic al ev id en ce qua li fie s as go od 5 Case: 12-10704 Date Filed: 09/17/2012 Page: 5 of 7cau se no t t o g iv e co nt ro ll in g wei gh t t o the st at em en ts of R os ari o’s treat in g

ps y ch ia tri st . II. Ro sa rio ne xtarg ue s tha t the ALJ’s hypo th et ic al qu es ti on s t o the vo cat io na l ex pe rt d idno t ad equa te ly accou ntforhe r li m it at io ns inco nc en tra ti on , per si st en ce, orpa ce. One way

th atth e ALJ m ay

pro ve th atothe r job s ex is t fo r th e cl ai m an t un de r st ep fiv e is by pos in g h y po th et ic al qu es ti on s t o the vo cat io na l ex pe rt t o

“ es tabl is h wh ethe r so m eo ne with the li m it at io ns th atth e ALJ h as pre vi ou sl y de te rm in edth atth e cl ai m an t h as wil l b e ab le to sec ur e em pl oym en t i n the nati on al eco no m y .” Ph il li ps v. Ba rnha rt, 3 57 F.3d12 32 , 12 40 (11 thCir . 20 04 ). “ Inord er fo r a v oc at io na l ex pe rt’s t es ti m on y to co ns ti tu te subs tant ia l ev id en ce, the ALJ m us t p os e a h y

po th et ic al qu es ti on whi chco m pr is es all of t he cla im an t’s im pa irments .” W il so n v . Barn ha rt, 2 84 F.3d12 19 , 12 27 (11 th Cir . 20 02 ). Gen eral ly, anALJ d oe s n otacco un t fo r a cl ai m an t’s l im it at io ns inco nc en tra ti on , pe rs is te nc e, an d p ace b y

res tri ct in g the hypo th et ic al po se d t o the vo cat io na l ex pe rt to si m pl e, ro ut in e ta sk s o r un sk il le d wo rk . See Wins ch el , 63 1 F .3dat 1 18 0– 81 . Howev er, i f th e “ m ed ic al ev id en ce d em on st rat es th at[th e] clai m an t ca n e ng ag e in si m pl e, ro ut in e ta sk s o r un sk il le d wo rk de sp it e li m it at io ns inco nc en tra ti on , pe rs is te nc e, an d p ace” th en“ li m it in g the hypo th et ic al to in cl ud e o nl y un sk il le d 6 Case: 12-10704 Date Filed: 09/17/2012 Page: 6 of 7work s uf

fic ie nt ly accou nt s fo r su chli m it at io ns .” Id . at 1 18 0. Here, the ALJ’s hypo th et ic al qu es ti on s ad equa te ly accou nt edforth e cl ai m an t’s l im it at io ns inco nc en tra ti on , per si st en ce, an d p ace. In st ep fou r’s res idua l fu nc ti on al cap aci ty det erm in at io n, wh ic h re fle ct s the m od erat e li m it at io ns in co nc en tra ti on , per si st en ce, an d p ace f ou nddu rin g s te ps two an d thr ee o f th e an al y si s, the ALJ fo un d tha t the m ed ic al ev id en ce d em on st rat edRo sario ’s abi li ty, de sp it e h er l im it at io ns , to pe rfo rm si m pl e, ro ut in e, an d re pe ti ti ve tas ks inan en vi ro nm en t wi thon ly brie f in te ract io ns with c o- worke rs an d the publ ic . The ALJ po in te d t o the in de pe nd en t as se ss m en ts of t hr ee d oc to rs insupp ort o f th is co nc lu si on . Dr. W il le ns , forex am pl e, de te rm in edth atev enth ou gh Ro sario ha d m od erat e d iff

ic ul ti es with c on cen tra ti on , per si st en ce, an d p ace s he ret ai ne d the ab il ity to pe rfo rm

si m pl e an d ro ut in e ta sk s fo r si x t o e ig htho ur s p er wo rk da y on a su st ai ne d b as is . The h y

po th et ic al th e ALJ p os edto th e v oc at io na l ex pe rt r es tri ct ed Ro sa rio to th e sam e type o f ta sk s an d the reb y su ffi ci en tl y

acco un te d fo r Ro sa rio ’s li mit at io ns inco nc en tra ti on , per si st en ce, an d p ace. Acc or di ng ly, subs tant ia l ev id en ce s up po rts th e ALJ’s fi nd in g tha t Ro sa rio co ul d p erfo rm a si gn ifi can t nu m be r of job s i n the na ti on al eco no m y . AFFIRMED. 7 Case: 12-10704 Date Filed: 09/17/2012 Page: 7 of 7