Saeedah Harwood v. Carolyn W. Colvin

Filing 21

MEMORANDUM OPINION AND ORDER AFFIRMING COMMISSIONER by Magistrate Judge Jean P. Rosenbluth. IT IS ORDERED that judgment be entered AFFIRMING the decision of the Commissioner, DENYING Plaintiff's request for remand, and DISMISSING this action with prejudice. IT IS FURTHER ORDERED that the Clerk serve copies of this Order and the Judgment on counsel for both parties. (See Order for details) (bem)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 SAEEDAH HARWOOD, Plaintiff, 12 13 v. 14 CAROLYN W. COLVIN, Acting Commissioner of Social Security, 15 Defendant. 16 ) Case No. CV 14-8119-JPR ) ) ) MEMORANDUM OPINION AND ORDER ) AFFIRMING COMMISSIONER ) ) ) ) ) ) ) 17 18 I. PROCEEDINGS 19 Plaintiff seeks review of the Commissioner’s final decision 20 denying her application for Social Security disability insurance 21 benefits (“DIB”). 22 Joint Stipulation, filed August 7, 2015, which the Court has 23 taken under submission without oral argument. 24 stated below, the Commissioner’s decision is affirmed. 25 II. The matter is before the Court on the parties’ BACKGROUND Plaintiff was born in 1960. 26 For the reasons 27 144.) 28 (Administrative Record (“AR”) She completed college and worked as a physical therapist. (AR 44, 180.) 1 1 On October 13, 2010, Plaintiff submitted an application for 2 DIB, alleging that she had been unable to work since May 11, 3 2008, because of “[n]eck injury,” “[p]roblems with right arm,” 4 depression, and “[b]ack problems.” 5 application was denied initially and on reconsideration, she 6 requested a hearing before an Administrative Law Judge. 7 107.) 8 who was represented by counsel, appeared, as did a vocational 9 expert. (AR 144, 179.) After her (AR A hearing was held on March 20, 2013, at which Plaintiff, (AR 52-86.) In a written decision issued May 3, 2013, 10 the ALJ found Plaintiff not disabled. 11 2014, the Appeals Council denied Plaintiff’s request for review. 12 (AR 7.) 13 III. STANDARD OF REVIEW 14 (AR 34-45.) On August 13, This action followed. Under 42 U.S.C. § 405(g), a district court may review the 15 Commissioner’s decision to deny benefits. 16 decision should be upheld if they are free of legal error and 17 supported by substantial evidence based on the record as a whole. 18 See id.; Richardson v. Perales, 402 U.S. 389, 401 (1971); Parra 19 v. Astrue, 481 F.3d 742, 746 (9th Cir. 2007). 20 evidence means such evidence as a reasonable person might accept 21 as adequate to support a conclusion. 22 401; Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007). 23 It is more than a scintilla but less than a preponderance. 24 Lingenfelter, 504 F.3d at 1035 (citing Robbins v. Soc. Sec. 25 Admin., 466 F.3d 880, 882 (9th Cir. 2006)). 26 substantial evidence supports a finding, the reviewing court 27 “must review the administrative record as a whole, weighing both 28 the evidence that supports and the evidence that detracts from 2 The ALJ’s findings and Substantial Richardson, 402 U.S. at To determine whether 1 the Commissioner’s conclusion.” Reddick v. Chater, 157 F.3d 715, 2 720 (9th Cir. 1996). 3 either affirming or reversing,” the reviewing court “may not 4 substitute its judgment” for the Commissioner’s. 5 IV. “If the evidence can reasonably support Id. at 720-21. THE EVALUATION OF DISABILITY 6 People are “disabled” for purposes of receiving Social 7 Security benefits if they are unable to engage in any substantial 8 gainful activity owing to a physical or mental impairment that is 9 expected to result in death or has lasted, or is expected to 10 last, for a continuous period of at least 12 months. 11 § 423(d)(1)(A); Drouin v. Sullivan, 966 F.2d 1255, 1257 (9th Cir. 12 1992). 42 U.S.C. 13 A. The Five-Step Evaluation Process 14 The ALJ follows a five-step sequential evaluation process to 15 assess whether a claimant is disabled. 20 C.F.R. 16 § 404.1520(a)(4); Lester v. Chater, 81 F.3d 821, 828 n.5 (9th 17 Cir. 1995) (as amended Apr. 9, 1996). 18 Commissioner must determine whether the claimant is currently 19 engaged in substantial gainful activity; if so, the claimant is 20 not disabled and the claim must be denied. In the first step, the § 404.1520(a)(4)(i). 21 If the claimant is not engaged in substantial gainful 22 activity, the second step requires the Commissioner to determine 23 whether the claimant has a “severe” impairment or combination of 24 impairments significantly limiting her ability to do basic work 25 activities; if not, the claimant is not disabled and the claim 26 must be denied. 27 28 § 404.1520(a)(4)(ii). If the claimant has a “severe” impairment or combination of impairments, the third step requires the Commissioner to 3 1 determine whether the impairment or combination of impairments 2 meets or equals an impairment in the Listing of Impairments 3 (“Listing”) set forth at 20 C.F.R. part 404, subpart P, appendix 4 1; if so, disability is conclusively presumed. 5 § 404.1520(a)(4)(iii). 6 If the claimant’s impairment or combination of impairments 7 does not meet or equal an impairment in the Listing, the fourth 8 step requires the Commissioner to determine whether the claimant 9 has sufficient residual functional capacity (“RFC”)1 to perform 10 her past work; if so, she is not disabled and the claim must be 11 denied. 12 proving she is unable to perform past relevant work. 13 F.2d at 1257. 14 case of disability is established. § 404.1520(a)(4)(iv). The claimant has the burden of Drouin, 966 If the claimant meets that burden, a prima facie Id. 15 If that happens or if the claimant has no past relevant 16 work, the Commissioner then bears the burden of establishing that 17 the claimant is not disabled because she can perform other 18 substantial gainful work available in the national economy. 19 § 404.1520(a)(4)(v); Drouin, 966 F.2d at 1257. 20 determination comprises the fifth and final step in the 21 sequential analysis. 22 n.5; Drouin, 966 F.2d at 1257. That § 404.1520(a)(4)(v); Lester, 81 F.3d at 828 23 B. The ALJ’s Application of the Five-Step Process 24 At step one, the ALJ found that Plaintiff had not engaged in 25 substantial gainful activity from May 11, 2008, the alleged onset 26 27 28 1 RFC is what a claimant can do despite existing exertional and nonexertional limitations. § 404.1545; see Cooper v. Sullivan, 880 F.2d 1152, 1155 n.5 (9th Cir. 1989). 4 1 date, to September 30, 2012, Plaintiff’s date last insured. (AR 2 36.) 3 impairment of degenerative disc disease of the cervical spine. 4 (Id.) 5 alone or in combination with her prior alcohol abuse, was not 6 severe (AR 36-37), a finding Plaintiff does not challenge here. 7 At step three, the ALJ determined that Plaintiff’s impairments 8 did not meet or equal a listing. 9 found that Plaintiff had the RFC to perform light work except At step two, he concluded that Plaintiff had the severe He found that Plaintiff’s depression, whether considered (AR 37.) At step four, he 10 that she could do “no more than occasional bilateral reaching” 11 and “no more than occasional handling and fingering with the left 12 upper extremity.” 13 ALJ concluded that Plaintiff could not perform her past relevant 14 work as a physical therapist. 15 found that Plaintiff could perform jobs existing in significant 16 numbers in the national economy. 17 her not disabled. 18 V. 19 The ALJ Properly Assessed the Treating Physicians’ Opinions 20 (AR 37-38.) Based on the VE’s testimony, the (AR 44.) At step five, the ALJ (Id.) Accordingly, he found (AR 45.) DISCUSSION Plaintiff contends the ALJ erred in assessing the opinions 21 of treating physician Daniel Capen and treating psychiatrist 22 Kwang Park. 23 remand is not warranted. (J. Stip. at 4.) For the reasons discussed below, 24 A. Applicable law 25 Three types of physicians may offer opinions in Social 26 Security cases: (1) those who directly treated the plaintiff, (2) 27 those who examined but did not treat the plaintiff, and (3) those 28 who did neither. Lester, 81 F.3d at 830. 5 A treating physician’s 1 opinion is generally entitled to more weight than an examining 2 physician’s, and an examining physician’s opinion is generally 3 entitled to more weight than a nonexamining physician’s. 4 Id. This is true because treating physicians are employed to 5 cure and have a greater opportunity to know and observe the 6 claimant. 7 If a treating physician’s opinion is well supported by medically 8 acceptable clinical and laboratory diagnostic techniques and is 9 not inconsistent with the other substantial evidence in the Smolen v. Chater, 80 F.3d 1273, 1285 (9th Cir. 1996). 10 record, it should be given controlling weight. 11 If a treating physician’s opinion is not given controlling 12 weight, its weight is determined by length of the treatment 13 relationship, frequency of examination, nature and extent of the 14 treatment relationship, amount of evidence supporting the 15 opinion, consistency with the record as a whole, the doctor’s 16 area of specialization, and other factors. 17 § 404.1527(c)(2). § 404.1527(c)(2)-(6). When a treating or examining physician’s opinion is not 18 contradicted by other evidence in the record, it may be rejected 19 only for “clear and convincing” reasons. 20 Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1164 (9th Cir. 2008) 21 (citing Lester, 81 F.3d at 830-31). 22 ALJ must provide only “specific and legitimate reasons” for 23 discounting it. 24 Furthermore, “[t]he ALJ need not accept the opinion of any 25 physician, including a treating physician, if that opinion is 26 brief, conclusory, and inadequately supported by clinical 27 findings.” 28 2002); accord Batson v. Comm’r of Soc. Sec. Admin., 359 F.3d See Carmickle v. When it is contradicted, the Id. (citing Lester, 81 F.3d at 830-31). Thomas v. Barnhart, 278 F.3d 947, 957 (9th Cir. 6 1 1190, 1195 (9th Cir. 2004). 2 B. Relevant background 3 Dr. Capen, an orthopedic surgeon, treated Plaintiff from 4 June 2005 to March 2008. 5 completed a Medical Source Statement form and Musculoskeletal 6 form. 7 opined that Plaintiff could stand or walk at least two hours and 8 sit six hours in an eight-hour workday. 9 options indicating that Plaintiff could lift only less than 10 (AR 339-43.) (See AR 425-99.) On April 21, 2011, he In the Medical Source Statement, Dr. Capen (AR 339.) He marked 10 pounds, whether frequently or occasionally, and in the 11 Occasionally section, he wrote that the maximum number of pounds 12 she could lift was “5 lbs.” 13 could never climb, crouch, or crawl but could balance and 14 occasionally stoop or kneel. 15 frequently reach, handle, finger, and feel with both her right 16 and left upper extremities. 17 prognosis, Dr. Capen wrote, “No change expected.” 18 Although the form provided space after each question for citing 19 supporting medical findings, Dr. Capen noted only “disc injury 20 cerv-s” and “spinal discopathy.” 21 medical finding referred to Plaintiff’s “back” but was otherwise 22 illegible. (Id.) He opined that Plaintiff (AR 340.) (Id.) Plaintiff could Regarding Plaintiff’s (AR 339-40.) (Id.) Another cited (AR 339.) In the Musculoskeletal form, Dr. Capen indicated a diagnosis 23 24 of spinal discopathy. (AR 341.) He noted tenderness in 25 Plaintiff’s joints but did not specify which ones. 26 separate question regarding Plaintiff’s paravertebral muscles, 27 however, he noted that Plaintiff had tenderness and spasms. 28 (Id.) (Id.) In a He opined that Plaintiff did not have any “disorganization 7 1 of motor function.” 2 whether Plaintiff’s upper-extremity limitations affected her 3 ability to lift or carry with a “free hand,” Dr. Capen wrote, 4 “N/A.” 5 decreased sensation, and she had positive straight-leg raises in 6 both sitting and supine positions. 7 that Plaintiff had “weakness in the lower extremities,” he did 8 not rate her strength on a scale of five as requested on the 9 form. (Id.) (Id.) (AR 342.) In response to a question asking He noted that Plaintiff had intact reflexes but (AR 341.) Although he noted In response to three questions asking him to 10 describe Plaintiff’s response to treatment, her prognosis, and 11 the anticipated duration of her symptoms, Dr. Capen wrote, “[n]o 12 change expected.” (AR 342-43.) The ALJ gave “no weight” to Dr. Capen’s opinion in part 13 14 because it was “vague and unsupported.” 15 he noted Dr. Capen’s “denials of symptoms” and “the lack of 16 specificity with alleged findings.” 17 Capen’s “supporting medical findings” consisted largely of “the 18 subjective claim of back pain.” 19 Capen’s statement on the Musculoskeletal form that manipulative 20 limitations were “not available” was a “direct contradiction” to 21 his statement on the Medical Source Statement form that Plaintiff 22 could frequently, but not constantly, do manipulative activity. 23 (Id.) 24 (AR 40.) (Id.) (Id.) In particular, He observed that Dr. He also noted that Dr. Plaintiff received mental-health treatment from the Los 25 Angeles County Department of Mental Health at various clinics 26 from December 2011 to May 2013. 27 38, 541-68.) 28 Hollywood Mental Health Center from June 2012 to May 2013. (See generally AR 390-424, 501- Dr. Park was Plaintiff’s treating psychiatrist at 8 (AR 1 2 401; see generally AR 390-424, 559-68.) On October 24, 2012, Dr. Park completed a Psychiatric Review 3 Technique form. (AR 375-88.) He opined that Plaintiff’s 4 depression with marked functional limitations met Listing 12.04.2 5 (AR 375.) 6 indicating that Plaintiff had a depressive syndrome characterized 7 by “[a]nhedonia or pervasive loss of interest in almost all 8 activities,” “[a]ppetite disturbance with change in weight,” 9 “[s]leep disturbances,” “[p]sychomotor agitation or retardation,” 10 “[d]ecreased energy,” “[f]eelings of guilt or worthlessness,” and 11 “[d]ifficulty concentrating or thinking.” 12 Listing’s Paragraph B criteria, Dr. Park opined that Plaintiff 13 was markedly limited in performing activities of daily living, 14 maintaining social functioning, and maintaining concentration, 15 persistence, or pace. 16 app. 1 § 12.00 (“The criteria in paragraphs B and C describe 17 impairment-related functional limitations that are incompatible 18 with the ability to do any gainful activity.”). 19 indicated that Plaintiff had suffered two episodes of 20 decompensation, each of extended duration. 21 indicating “One or Two” episodes and circling “Two”).) In support of his opinion, Dr. Park checked boxes (AR 378.) As to the (AR 385); see 20 C.F.R. pt. 404, subpt. P, He also (AR 385 (checking box As to the 22 23 24 25 26 27 28 2 For a claimant’s depression to meet Listing 12.04, she must establish both “[m]edically documented persistence, either continuous or intermittent,” of “[d]epressive syndrome,” characterized by at least four of a specified list of symptoms and resulting limitations that meet at least two of the criteria in paragraph B. 20 C.F.R. pt. 404, subpt. P, app. 1 § 12.04. Alternatively, the claimant can meet Listing 12.04 under paragraph C by establishing a “[m]edically documented history of a chronic affective disorder of at least 2 years’ duration,” characterized by one of a specified list of symptoms. Id. 9 1 Listing’s Paragraph C criteria, Dr. Park checked a box indicating 2 that Plaintiff had a “[m]edically documented history” of a mental 3 disorder “of at least 2 years’ duration that has caused more than 4 a minimal limitation of ability to do any basic work activity,” 5 along with “[r]epeated episodes of decompensation, each of 6 extended duration.” 7 comments in the Consultant’s Notes section of the form. 8 387.) 9 (AR 386.) Dr. Park did not write any (AR The ALJ gave “no weight” to Dr. Park’s “unsupported opinion 10 of extreme limitations.” 11 opinion conflicted “with his own progress notes of [Plaintiff’s] 12 stability and [her] statements about her high functioning level.” 13 (Id.) 14 experienced one or two episodes of decompensation was “not found 15 in the record” and “actually contradict[ed] [Plaintiff’s] own 16 denial of ever being hospitalized for psychiatric reasons.” 17 (Id.) 18 any clinical findings other than to checkmark symptoms on the 19 preprinted form.” 20 He noted that Dr. Park’s In particular, Dr. Park’s statement that Plaintiff had Moreover, the ALJ found, Dr. Park “neglected to provide C. (Id.) Analysis 1. 21 (AR 43.) Dr. Capen 22 The ALJ gave “no weight” to Dr. Capen’s opinion that 23 Plaintiff could lift a maximum of five pounds and lift or carry 24 less than 10 pounds occasionally or frequently. 25 opinion was contradicted by Dr. H. Harlan Bleecker, the 26 consultative orthopedic physician, who assessed that Plaintiff 27 could lift 10 pounds frequently and 20 pounds occasionally. 28 358.) (AR 40.) This Thus, the ALJ was required to give only specific and 10 (AR 1 legitimate reasons supported by substantial evidence for 2 discounting Dr. Capen’s opinion, see Carmickle, 533 F.3d at 1164, 3 which he did.3 4 The ALJ rejected Dr. Capen’s opinion in part because it was 5 “vague.” (AR 40.) 6 of symptoms” and “the lack of specificity with alleged 7 findings.”4 8 Plaintiff’s joints but did not specify which joints had 9 tenderness. (Id.) Specifically, he noted Dr. Capen’s “denials For example, Dr. Capen noted tenderness in (AR 341.) And although he stated that Plaintiff had 10 weakness in her lower extremities, he did not rate her muscle 11 strength on a scale of five as requested on the form.5 (Id.) He 12 3 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Plaintiff claims that the opinions of Drs. Bleecker and Richard Masserman, to which the ALJ gave “great weight” (AR 44), do not constitute substantial evidence because they were not based on “independent clinical findings.” (J. Stip. at 13-14.) But they were. (See, e.g., AR 265-66 (Dr. Masserman recounting his clinical findings), 356-57 (Dr. Bleecker recounting his clinical findings).) 4 Plaintiff claims, citing Regennitter v. Commissioner of the Social Security Administration, 166 F.3d 1294, 1299 (9th Cir. 1999), that lack of specificity is “not a valid reason as a matter of law.” (J. Stip. at 7.) But Regennitter does not actually say that, and in any event it concerned whether two doctors’ opinions conflicted and concluded that they did not because one was simply more detailed than the other. 166 F.3d at 1299. Here, Dr. Capen’s opinion finding, for instance, that Plaintiff was capable of lifting a maximum of five pounds clearly conflicted with Dr. Bleecker’s, who assessed that Plaintiff could lift up to 20 pounds. 5 Plaintiff contends that the ALJ “failed to apply the correct legal standard” in “criticizing” Dr. Capen for not rating Plaintiff’s muscle weaknesses. (J. Stip. at 5-6.) But the ALJ noted Dr. Capen’s failure to complete the form, in part by not rating Plaintiff’s muscle weaknesses, as part of his observation that the doctor’s opinion was vague and lacked specificity. He did not err in doing so, as certainly muscle strength of, say, 0 (continued...) 11 1 also wrote the same “[n]o change expected” answer three times to 2 questions regarding Plaintiff’s response to treatment, her 3 prognosis, and the anticipated duration of her symptoms. 4 342-43.) 5 Capen’s assessed limitations. 6 1104, 1111 (9th Cir. 2012) (ALJ may “permissibly reject check-off 7 reports that do not contain any explanation of the bases of their 8 conclusions” (alterations and citation omitted)). 9 (AR Such vague findings were inadequate to support Dr. See Molina v. Astrue, 674 F.3d The ALJ also found that Dr. Capen’s response on the 10 Musculoskeletal form of “N/A” regarding manipulative limitations 11 (AR 342) contradicted his statement on the Medical Source 12 Statement form that Plaintiff could frequently do manipulative 13 activity (AR 340). 14 and legitimate reason for rejecting Dr. Capen’s opinion. 15 Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005) (finding 16 that ALJ may cite internal inconsistencies in evaluating 17 physician’s opinion); Houghton v. Comm’r Soc. Sec. Admin., 493 F. 18 App’x 843, 845 (9th Cir. 2012) (ALJ’s finding that physicians’ 19 opinions were “internally inconsistent” constituted specific and 20 legitimate basis for discounting them). 21 “the two opinions are not that different at all.” 22 7.) 23 claimant can perform is often the difference between affirmance 24 and remand in these sorts of cases, and there exists a clearly 25 defined distinction between “frequently” and “constantly.” This internal inconsistency was a specific Plaintiff claims that (J. Stip. at But an ALJ’s selection of where on the activity scale a 26 27 5 28 See (...continued) would be more significant than 4 or 5. 12 1 The ALJ also rejected Dr. Capen’s opinion because it was 2 “unsupported.” (AR 40.) Indeed, although the Medical Source 3 Statement form provided space after each functional assessment 4 for citing supporting medical findings, Dr. Capen left most of 5 them blank. 6 he simply cited diagnoses of spinal discopathy and disc injury. 7 (AR 339-40.) 8 from before the alleged onset date. 9 treatment from June 2005 to Mar. 2008).) In the few he did complete, as the ALJ noted (id.), Moreover, all of Dr. Capen’s progress notes are (See AR 425-99 (documenting Although Dr. Capen 10 indicated in the Medical Source Statement that he had last seen 11 Plaintiff on March 8, 2011 (AR 340), the record does not contain 12 any treatment notes from that date or even that year. 13 opinion was unsupported by objective medical findings, and the 14 ALJ properly rejected it on that basis. 15 (more weight given “[t]he more a medical source presents relevant 16 evidence” and “[t]he better an explanation” he provides to 17 support opinion); Connett v. Barnhart, 340 F.3d 871, 875 (9th 18 Cir. 2003) (treating physician’s opinion properly rejected when 19 treatment notes “provide[d] no basis for the functional 20 restrictions he opined should be imposed on [claimant]”); Batson, 21 359 F.3d at 1195 (“an ALJ may discredit treating physicians’ 22 opinions that are conclusory, brief, and unsupported by . . . 23 objective medical findings”). 24 25 Thus, his See § 404.1527(c)(3) The ALJ found Dr. Capen’s opinion unsupported also because it was based in part on Plaintiff’s “subjective claim of back 26 27 28 13 (AR 40.)6 1 pain.” Given Dr. Capen’s vague, partly illegible 2 responses on the form regarding supporting medical findings as 3 well as the lack of any treatment notes after the alleged onset 4 date, as discussed above, it appears that his functional 5 assessments were indeed premised on Plaintiff’s self-reports of 6 symptoms. 7 describe mostly Plaintiff’s self-reported symptoms and medical 8 history, with few clinical findings. 9 noting only tenderness to palpation, spasm, and painful, Even Dr. Capen’s most recent notes, from early 2008, (AR 494 (in Mar. 2008, 10 restricted range of motion), 497-98 (on Jan. 22, 2008, noting 11 only spasm, tightness, tenderness, and “cervical disc 12 deterioration” in x-ray).) 13 (AR 42-43), and Plaintiff does not challenge that determination 14 on appeal; indeed, the record supports it. 15 opinion was based on Plaintiff’s discredited complaints was a 16 specific and legitimate reason for rejecting it. 17 v. Astrue, 533 F.3d 1035, 1041 (9th Cir. 2008) (ALJ may reject 18 treating physician’s opinion if it is based “on a claimant’s 19 self-reports that have been properly discounted as incredible”); 20 Tonapetyan v. Halter, 242 F.3d 1144, 1149 (9th Cir. 2001) 21 (because record supported ALJ’s discounting of claimant’s 22 credibility, ALJ “was free to disregard [examining physician’s] 23 opinion, which was premised on [claimant’s] subjective 24 complaints”). The ALJ found Plaintiff not credible That Dr. Capen’s See Tommasetti 25 26 27 28 6 Plaintiff is simply wrong in claiming that the ALJ did not give this as a reason for rejecting Dr. Capen’s opinion. (See J. Stip. at 17.) 14 1 2 2. Dr. Park The ALJ gave “no weight” to Dr. Park’s opinion that 3 Plaintiff’s depression with marked functional limitations 4 satisfied Listing 12.04 and that Plaintiff had experienced two 5 episodes of decompensation. 6 contradicted by the nonexamining state-agency psychiatrist, who 7 opined that Plaintiff’s alleged depression was not severe, she 8 had mild to no limitations on mental functioning, and there was 9 insufficient evidence to assess whether she had experienced (AR 43.) The opinion was 10 episodes of decompensation.7 11 required to give only specific and legitimate reasons supported 12 by substantial evidence for discounting Dr. Park’s opinion, see 13 Carmickle, 533 F.3d at 1164, which he did. 14 (AR 328, 336.) Thus, the ALJ was The ALJ rejected Dr. Park’s opinion in part because its 15 “extreme limitations” were “unsupported.” (AR 43.) Indeed, as 16 the ALJ noted, Dr. Park simply checked boxes on the preprinted 17 form (see AR 375-86), and he did not write any notes or comments 18 in the space provided for that purpose (AR 387). 19 notes recorded very few clinical findings; instead, they mostly 20 summarized Plaintiff’s subjective complaints or response to 21 medication. 22 writing nothing under Mental Status and Assessment sections), 565 23 (in June 2012, noting only medications prescribed), 564 (in July 24 2012, noting Plaintiff’s complaints regarding sleep, mood, and His treatment (See AR 567 (at initial assessment in June 2012, 25 26 27 28 7 The electronic signature of the state-agency physician includes a medical-specialty code of 37, indicating psychiatry. (AR 328); see Program Operations Manual System (POMS) DI 24501.004, U.S. Soc. Sec. Admin. (May 5, 2015), http:// policy.ssa.gov/poms.nsf/lnx/0424501004. 15 1 anxiety), 563 (in Sept. 2012, same), 562 (in Jan. 2013, noting 2 only refill of medication over telephone), 561 (in Mar. 2013, 3 noting Plaintiff’s subjective complaints under Mental Status 4 section).) 5 was less depressed and anxious. 6 ALJ was entitled to reject Dr. Park’s opinion as unsupported by 7 his own treatment notes. 8 at 875; Thomas, 278 F.3d at 957 (“The ALJ need not accept the 9 opinion of any physician, including a treating physician, if that 10 11 Moreover, they showed that with medication Plaintiff (See AR 561, 563-64.) Thus, the See § 404.1527(c)(3); Connett, 340 F.3d opinion is . . . inadequately supported by clinical findings.”). The ALJ also rejected Dr. Park’s opinion because it was 12 inconsistent with the record. (See AR 43.) As the ALJ noted, 13 contrary to Dr. Park’s statement that Plaintiff had experienced 14 two episodes of decompensation, the record contained no evidence 15 of such episodes. 16 June 2012 that Plaintiff had had “no hospitalization[s]” (AR 17 422), and Plaintiff denied being hospitalized for psychiatric 18 issues (AR 396, 402, 536). 19 itself in ways other than hospitalization, as Plaintiff notes (J. 20 Stip. at 19), she points to no such manifestations in the record. 21 Moreover, Plaintiff has not challenged the ALJ’s step-two finding 22 that her depression was not severe. 23 that Plaintiff was markedly limited in mental functioning was 24 inconsistent with Plaintiff’s statements in her function report. 25 For example, she stated that she could take care of herself (AR 26 206), go grocery shopping once a week (AR 208), socialize with 27 friends (AR 209), and follow written and spoken instructions 28 “well” (AR 210). Dr. Park noted at the initial evaluation in Although decompensation can manifest Indeed, Dr. Park’s opinion She also stated that her impairments did not 16 1 affect her memory, concentration, or ability to complete tasks 2 and get along with others. 3 assessments were also inconsistent with Plaintiff’s statements to 4 other mental-health practitioners. 5 Plaintiff exhibiting euthymic mood and telling social worker she 6 would “like to return to school and earn her MBA”), 556 (on Aug. 7 15, 2012, Plaintiff reporting that “current meds help [with] 8 depression”), 555 (on Aug. 23, 2012, Plaintiff exhibiting 9 euthymic mood and telling social worker she would “like to return (Id.) Dr. Park’s functional (See AR 557 (in July 2012, 10 to school and get marketing degree if SSI goes through”).) 11 Moreover, the other practitioners, like Dr. Park, documented 12 sparse medical findings and mostly summarized Plaintiff’s 13 complaints and feelings. 14 ALJ’s determination that Dr. Park’s opinion was inconsistent with 15 the record was specific, legitimate, and supported by substantial 16 evidence. 17 consistent an opinion is with the record as a whole”); Batson, 18 359 F.3d at 1195 (ALJ may discredit treating physicians’ opinions 19 that are “unsupported by the record as a whole”). 20 (See AR 551-58.) Accordingly, the See § 404.1527(c)(4) (more weight given “the more Plaintiff contends that the ALJ misrepresented evidence 21 regarding “[her] statements about her high functioning level.” 22 (J. Stip. at 20 (citing AR 407).) 23 Plaintiff claims was misrepresented, she reported difficulty 24 getting along with others at the sober-living home “due to past 25 level of high functioning job (physical therapist)”; she was 26 struggling with “ego and sense of entitlement.” 27 the ALJ just as likely intended to refer to evidence in the same 28 progress note of Plaintiff’s own admission that she was having 17 In the progress note that (AR 407.) But 1 difficulty obtaining disability benefits “due to her current 2 functioning.” 3 in noting that inconsistency. 4 evidence contradicting Dr. Park’s opinion could be found not only 5 in Plaintiff’s statements to mental-health practitioners but also 6 her statements in her function report. 9 The ALJ did not err Moreover, as discussed above, Plaintiff is not entitled to remand on this ground. 7 8 (See AR 43 (citing AR 407).) VI. CONCLUSION Consistent with the foregoing, and under sentence four of 42 10 U.S.C. § 405(g),8 IT IS ORDERED that judgment be entered 11 AFFIRMING the decision of the Commissioner, DENYING Plaintiff’s 12 request for remand, and DISMISSING this action with prejudice. 13 IT IS FURTHER ORDERED that the Clerk serve copies of this Order 14 and the Judgment on counsel for both parties. 15 16 DATED: January 5, 2016 17 ______________________________ JEAN ROSENBLUTH U.S. Magistrate Judge 18 19 20 21 22 23 24 25 26 27 28 8 That sentence provides: “The [district] court shall have power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing.” 18

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