Rosemarie Rose Curry-Collins v. Commissioner of Social Security

Filing 21

MEMORANDUM OF DECISION by Magistrate Judge Andrew J. Wistrich: The Commissioner's decision is supported by substantial evidence and is free of legal error. Accordingly, the Commissioner's decision is affirmed. (See document for further details.) (jsan)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 WESTERN DIVISION 11 12 13 14 15 16 ROSEMARIE ROSE CURRY-COLLINS, ) ) Plaintiff, ) ) v. ) ) NANCY A. BERRYHILL, Acting ) Commissioner of Social Security, ) ) Defendant. ) ____________________________________ ) Case No. CV 16-03858 AJW MEMORANDUM OF DECISION 17 Plaintiff seeks reversal of the decision of defendant, the Commissioner of the Social Security 18 Administration (the “Commissioner”), denying plaintiff’s application for disability insurance benefits and 19 supplemental security income benefits. The parties have filed a Joint Stipulation (“JS”) setting forth their 20 contentions with respect to each disputed issue. 21 Administrative Proceedings 22 The parties are familiar with the procedural facts. [See JS 2-3]. In a December 3, 2014 written 23 hearing decision that constitutes the Commissioner’s final decision, an Administrative Law Judge (“ALJ”) 24 found that plaintiff had severe impairments consisting of arthritis and morbid obesity. The ALJ determined 25 that plaintiff’s impairments did not meet or equal a listed impairment, and that plaintiff retained the residual 26 functional capacity (“RFC”) to perform a range of sedentary work. The ALJ further found that plaintiff’s 27 RFC did not preclude her from performing her past relevant work as an insurance office manager. 28 1 Accordingly, the ALJ concluded that plaintiff was not disabled at any time from her alleged onset date of 2 August 16, 2011 through the date of the ALJ’s decision. [Administrative Record (“AR”) 1-6, 17-30]. 3 Standard of Review 4 The Commissioner’s denial of benefits should be disturbed only if it is not supported by substantial 5 evidence or is based on legal error. Brown-Hunter v. Colvin, 806 F.3d 487, 492 (9th Cir. 2015); Thomas 6 v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). “Substantial evidence” means “more than a mere scintilla, 7 but less than a preponderance.” Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 (9th Cir. 2005) (quoting 8 Tidwell v. Apfel, 161 F.3d 599, 601 (9th Cir. 1999)). “It is such relevant evidence as a reasonable mind 9 might accept as adequate to support a conclusion.” Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005) 10 (internal quotation marks omitted). The court is required to review the record as a whole and to consider 11 evidence detracting from the decision as well as evidence supporting the decision. Robbins v. Soc. Sec. 12 Admin, 466 F.3d 880, 882 (9th Cir. 2006); Verduzco v. Apfel, 188 F.3d 1087, 1089 (9th Cir. 1999). “Where 13 the evidence is susceptible to more than one rational interpretation, one of which supports the ALJ's 14 decision, the ALJ's conclusion must be upheld.” Thomas, 278 F.3d at 954 (citing Morgan v. Comm’r of Soc. 15 Sec. Admin., 169 F.3d 595, 599 (9th Cir. 1999)). 16 Discussion 17 Plaintiff’s mental impairments 18 Plaintiff contends that the ALJ erred in rejecting the opinions of a treating source and an examining 19 source concerning the severity and functional effects of plaintiff’s mental impairments. [See JS 5-34]. 20 At step two of the sequential evaluation process, the ALJ determines whether a claimant has any 21 severe, medically determinable physical or mental impairments that meet the durational requirement. See 22 20 C.F.R. §§ 404.920(a)(4), 416.920(a)(4). In assessing severity, the ALJ must determine whether a 23 claimant’s medically determinable impairment or combination of impairments significantly limits his or her 24 physical or mental ability to do “basic work activities.”1 20 C.F.R. §§ 404.1521(a), 416.921(a); Webb v. 25 26 27 28 1 Basic work activities are the “abilities and aptitudes necessary to do most jobs,” such as (1) physical functions like walking, standing, sitting, lifting, pushing, pulling, reaching, carrying, and handling; (2) the capacity for seeing, hearing, speaking, understanding, carrying out, and remembering simple instructions; (3) the use of judgment; and (4) the ability to respond appropriately to supervision, co-workers, and usual work situations. 20 C.F.R. §§ 404.1521(b), 2 1 Barnhart, 433 F.3d 683, 686-687 (9th Cir. 2006). Symptom-related restrictions must be considered in 2 determining severity, provided that the claimant has a medically determinable impairment that could 3 reasonably be expected to produce the symptoms. Social Security Ruling (“SSR”) 96-3p, 1996 WL 4 374181, at *2. The ALJ may find a medically determinable impairment or combination of impairments “not 5 severe only if the evidence establishes a slight abnormality that has no more than a minimal effect on an 6 individual's ability to work.” Webb, 433 F.3d at 686 (quoting Smolen v. Chater, 80 F.3d 1273, 1289-1290 7 (9th Cir. 1996)). 8 The ALJ found that plaintiff had medically determinable depression and anxiety, but that those 9 impairments were not severe. More specifically, the ALJ found that plaintiff had no limitation or mild 10 limitation in all four broad functional areas used to determine severity: activities of daily living; maintaining 11 social functioning; concentration, persistence or pace; and episodes of deterioration or decompensation in 12 work or work-like settings. [See AR 20]. The ALJ said that he based that finding on his own review of the 13 record and on the opinions of the non-examining state agency psychological consultants, Paul Klein, Ph.D. 14 and Patrice G. Solomon, Ph.D., both of whom opined that plaintiff’s mental impairments were not severe. 15 [See AR 20-21, 113-115, 145-148]. 16 Plaintiff contends that the ALJ’s finding of no severe mental impairment is legally erroneous because 17 he impermissibly rejected the March 2013 opinion of plaintiff’s treating primary care physician, Steven H. 18 Suchman, M.D., and the November 2012 opinion of the Commissioner’s consultative examining 19 psychiatrist, William Goldsmith, M.D. Plaintiff further contends that the ALJ’s error was not harmless 20 because his finding of no severe mental impairment led him to exclude any mental functional limitations 21 from his RFC finding, and that even if the ALJ did not err in finding plaintiff’s mental impairments 22 nonsevere, the ALJ erred in failing to consider the combined effects of all of plaintiff’s impairments, 23 including his nonsevere mental impairments, in assessing plaintiff’s RFC. 24 Plaintiff’s contentions lack merit. The ALJ permissibly rejected the opinions of Dr. Suchman and 25 Dr. Goldsmith. Moreover, even if the ALJ erred in finding no severe mental impairment at step two, any 26 error was harmless in that the ALJ proceeded with the sequential evaluation and carefully considered the 27 28 416.921(b). 3 1 evidence regarding plaintiff’s mental impairments in formulating plaintiff’s RFC.2 See Lewis v. Astrue, 2 498 F.3d 909, 911 (9th Cir. 2007 ) (holding that where the ALJ failed to consider or find the claimant’s 3 bursitis severe at step two, any error was harmless because the ALJ “extensively discussed” that impairment 4 at step four, and the ALJ’s “decision reflects that the ALJ considered any limitations posed by the bursitis 5 at Step 4. As such, any error that the ALJ made in failing to include the bursitis at Step 2 was harmless.”) 6 (citing Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1054 (9th Cir. 2006) (recognizing that harmless 7 error applies in the social security context)); Burch, 400 F.3d at 682-684 (holding that the ALJ did not 8 commit reversible error by not considering the claimant’s obesity or finding it severe at step two because 9 the ALJ proceeded with the sequential analysis and adequately considered the claimant’s obesity in making 10 his RFC determination); see, e.g., Jerome v. Colvin, 542 F. App'x 566 (9th Cir. 2013) (holding that even 11 if the ALJ committed legal error by incorrectly finding some of the claimant’s impairments nonsevere, the 12 ALJ proceeded with the sequential analysis and “considered evidence of all her impairments at step four. 13 The fact that the ALJ discussed both [the claimant’s] severe and non-severe impairments at step four renders 14 the distinction between severe and non-severe impairments legally immaterial, and thus any alleged error 15 was harmless.”) 16 In March 2013, Dr. Suchman completed three questionnaires at plaintiff’s request, one concerning 17 plaintiff’s “anxiety related disorder,” one concerning her “depressive disorder,” and one “physical capacity 18 evaluation.” [AR 346-360]. On the depressive disorder questionnaire, Dr. Suchman marked responses 19 indicating that plaintiff exhibited persistent disturbance of mood accompanied by full or partial depressive 20 syndrome, anhedonia, sleep disturbance, psychomotor agitation or retardation, decreased energy, feelings 21 of guilt or worthlessness, and difficulty concentrating or thinking. [AR 349]. Dr. Suchman opined that 22 plaintiff’s depressive disorder caused a “marked” impairment (one that “seriously affects ability to function 23 independently, appropriately and effectively”) in all four broad functional areas used to determine severity: 24 activities of daily living; maintaining social functioning; concentration, persistence or pace; and episodes 25 of deterioration or decompensation in work or work-like settings. [AR 351]. On the anxiety disorder 26 questionnaire, Dr. Suchman marked responses indicating that plaintiff “exhibited generalized persistent 27 2 28 Plaintiff does not contend that her mental impairments, singly or in combination with other impairments, met or equaled a listed impairment at step three. 4 1 anxiety” accompanied by “motor tension,” and that she experienced “recurrent severe panic attacks 2 manifested by a sudden unpredictable onset of intense apprehension, fear, terror and sense of impending 3 doom occurring on the average of at least once a week[.]” [AR 346]. Dr. Suchman opined that plaintiff’s 4 anxiety related disorder caused mild impairment (one “of slight importance which does not affect ability 5 to function”) in her activities of daily living and mild episodes of deterioration or decompensation in work 6 or work-like settings, and moderate impairment (one that “affects but does not preclude ability to function”) 7 in maintaining social functioning and in concentration, persistence or pace, resulting in failure to complete 8 tasks in a timely manner. [AR 346]. Neither form asked Dr. Suchman to say how long plaintiff’s 9 impairments had lasted or were expected to last. 10 The ALJ must provide clear and convincing reasons, supported by substantial evidence in the record, 11 for rejecting an uncontroverted treating source opinion. If contradicted by that of another doctor, a treating 12 or examining source opinion may be rejected for specific and legitimate reasons that are based on substantial 13 evidence in the record. Batson v. Comm’r of Soc. Sec. Admin., 359 F.3d 1190, 1195 (9th Cir. 2004); 14 Tonapetyan v. Halter, 242 F.3d 1144, 1148-1149 (9th Cir. 2001); Lester v. Chater, 81 F.3d 821, 830-831 15 (9th Cir. 1995). 16 The ALJ articulated specific, legitimate reasons supported by substantial evidence for rejecting Dr. 17 Suchman’s controverted opinion. First, he noted that those opinions consist of “checked boxes” without 18 any supporting clinical findings. [AR 27]. See Molina v. Astrue, 674 F.3d 1104, 1111 (9th Cir. 2012) (“We 19 have held that the ALJ may permissibly reject check-off reports that [do] not contain any explanation of the 20 bases of their conclusions.”) (internal quotation marks, brackets, and ellipsis omitted). 21 Second, the ALJ permissibly concluded that Dr. Suchman’s treatment records lack supporting 22 clinical evidence or other “descriptive details” corroborating his opinion. Plaintiff presented to Dr. 23 Suchman on August 16, 2011 (her alleged onset of disability date) with complaints of knee pain and “severe 24 anxiety for the last few months. Really bad the last week or two.” [AR 307]. Dr. Suchman diagnosed 25 anxiety and prescribed Viibryd (vilazodone). He did not conduct a mental status examination or document 26 any other clinical evidence corroborating plaintiff’s subjective complaints of severe anxiety, nor did he note 27 any mental functional limitations. [AR 307-308]. He advised plaintiff to follow up as needed. [AR 308]. 28 That same day, Dr. Suchman completed a state disability insurance form stating that plaintiff was “incapable 5 1 of performing his or her regular or customary work” and would remain so for approximately four months. 2 [AR 312]. Plaintiff’s primary diagnoses was osteoarthritis of the knees (ICD-93 Diagnosis Code 715.90). 3 Dr. Suchman noted that plaintiff exhibited x-ray evidence of arthritis, that she had been treated with 4 nonsteroidal anti-inflammatory drugs, and that he had recommended that she get a knee injection (which 5 she declined). [AR 307, 312]. Plaintiff’s secondary diagnosis was anxiety (ICD-9 Diagnosis Code 300.00), 6 but Dr. Suchman did not note any findings or treatment for that problem on the form. [AR 312]. 7 Plaintiff returned to Dr. Suchman about eight months later, in April 2012, for follow-up on her joint 8 problems. Dr. Suchman made no mention of any mental health complaints or symptoms, and he did not 9 diagnose any mental impairment. Plaintiff’s diagnoses were degenerative joint disease and obesity. [AR 10 310]. 11 Another eight months passed before plaintiff returned to Dr. Suchman in January 2013. She 12 complained of depression that had started gradually but was worsening, constant, and “moderate to severe.” 13 Dr. Suchman said that plaintiff described easy irritability, emotional lability, worrying, and sadness. He 14 noted that plaintiff’s previous treatment for depression (which, he said, had been six years earlier) was 15 “initially effective,” and that plaintiff had decreased the dosage of her anti-depressant medication on her 16 own, but that her symptoms had worsened. Dr. Suchman diagnosed “major depressive disorder, recurrent 17 episode, without mention of psychotic behavior.” He made no mental status examination findings or other 18 clinical findings. Along with medication for migraines and joint pain, Dr. Suchman prescribed Xanax 19 (alprazolam) extended release tablets, 0.5 milligrams, once daily. [AR 27, 383-385]. 20 During a May 2013 follow-up with Dr. Suchman, plaintiff reported that “her anti-depressant has not 21 been working as well as it has in the past,” but no other complaints or symptoms are noted. [AR 28, 379]. 22 Dr. Suchman conducted a mental status examination and found no abnormalities. Plaintiff was fully 23 oriented and exhibited appropriate judgment, good insight, intact recent and remote memory, normal mood, 24 good eye contact, and normal affect. [AR 380]. Dr. Suchman did not change his diagnosis of major 25 26 27 28 3 “ICD” is an acronym for “The International Classification of Diseases,” a standard diagnostic tool published by the World Health Organization. “ICD-9” refers to the ninth revision of the ICD. See World Health Organization website, Classification of Diseases, available at http://www.who.int/classifications/icd/en/ (last visited May 16, 2017). 6 1 depressive disorder, recurrent episode. He said that plaintiff’s depression needed “better control” and that 2 the plan was to “change medications as prescribed,” but nowhere in his progress notes is it indicated that 3 he actually changed plaintiff’s prescribed medications or dosage, either then or during her next and final 4 documented follow-up with Dr. Suchman in March 2014, some ten months later. [AR 376, 380-382]. 5 Plaintiff’s March 2014 visit was to follow up “on her arthritis, migraines and the meds she uses for 6 them . . . .” [AR 28, 376]. Dr. Suchman did not report any mental complaints or symptoms. Plaintiff’s 7 mental status examination was normal. Dr. Suchman continued to prescribe Xanax (alprazolam), 0.5 8 milligrams once daily, and his diagnosis of major depressive disorder, recurrent episode remained 9 unchanged. [AR 3767-378]. 10 The ALJ was entitled to rely on the lack of any abnormal mental status examination findings or other 11 signs establishing a serious impairment to reject Dr. Suchman’s March 2013 opinion and to conclude that 12 plaintiff’s depression and anxiety did no more than minimally limit her ability to perform basic work 13 activities for any consecutive 12-month period and therefore were not severe. See generally Hinkle v. 14 Apfel, 132 F.3d 1349, 1352 (10th Cir. 1997) (noting that although step two “requires a 'de minimis' showing 15 of impairment,” a claimant “must show more than the mere presence of a condition or ailment”) (citing 16 Bowen v. Yuckert, 482 U.S. 137, 153 (1987)). 17 Plaintiff argues that Dr. Suchman properly relied on plaintiff’s subjective complaints to diagnose 18 and treat her mental impairment. [See JS 16-17]. While “mental health professionals frequently rely on the 19 combination of their observations and the patient's reports of symptoms (as do all doctors),” Ferrando v. 20 Comm’r of Soc. Sec. Admin. 449 F. App’x 610, 612 n.2 (9th Cir. Sept. 6, 2011), Dr. Suchman did not 21 record any clinical observations, abnormal mental status examination findings, psychometric test results, 22 or other psychiatric signs supporting the functional limitations he assessed. Instead, he appears to have 23 relied exclusively on plaintiff’s subjective symptoms, which, for the reasons described below, the ALJ 24 permissibly discounted. See Burrell v. Colvin, 775 F.3d 1133, 1140-1141 (9th Cir. 2014) (“An ALJ may 25 reject a treating physician's opinion if it is based to a large extent on a claimant's self-reports that have been 26 properly discounted as incredible.”)(quoting Tommasetti v. Astrue, 533 F.3d 1035, 1041 (9th Cir.2008)); 27 Brawner v. Sec’y of Health & Human Servs., 839 F.2d 432, 433-34 (9th Cir. 1988) (per curiam) (stating 28 that medical conclusions are entitled to less weight to the extent that they rely on the claimant’s properly 7 1 discounted subjective history). 2 Another reason cited by the ALJ for rejecting Dr. Suchman’s opinion was his failure to refer plaintiff 3 to a mental health specialist for additional treatment. The ALJ rationally inferred that if plaintiff’s condition 4 “were actually disabling, such a referral, or at least a discussion of a referral, would seem appropriate and 5 likely.” [AR 27]. Instead, Dr. Suchman’s notes indicate that plaintiff obtained relief from relatively 6 infrequent, episodic exacerbation of her depressive symptoms with her prescribed medication, making 7 additional treatment unnecessary. See Johnson v. Shalala, 60 F.3d 1428, 1433-1434 (9th Cir.1995) (holding 8 that the ALJ properly rejected a treating physician’s uncontradicted disability opinion where the physician 9 also opined that the claimant needed only a “program of conservative care”); see also Warre v. Comm’r of 10 the Soc. Sec. Admin., 439 F.3d 1001, 1006 (9th Cir. 2005) (“Impairments that can be controlled effectively 11 with medication are not disabling.”). 12 opinion were legally sufficient and supported by substantial evidence in the record. The reasons provided by the ALJ for rejecting Dr. Suchman’s 13 The ALJ also rejected Dr. Suchman’s opinion based in part on the analysis and opinions of the 14 nonexamining state agency psychological consultants, Dr. Solomon and Dr. Klein, who conducted a 15 longitudinal records review that included Dr. Suchman’s treatment records through March 2013, Dr. 16 Goldsmith’s November 2012 consultative psychiatric examination report, and the June 2013 consultative 17 psychiatric report by Stephan Simonian, M.D. [See AR 20-21, 25, 113-115, 145-148]. Drs. Klein and 18 Solomon concluded that plaintiff’s mental impairment was not severe because: (1) there is a very limited 19 documented psychiatric history; (2) anxiety was only briefly mentioned in plaintiff’s medical records: (3) 20 there was no medical evidence in the record of “constellation or duration of [symptoms] meeting [major 21 depressive disorder]”; (4) Dr. Suchman’s opinion was entitled to less weight because he was not a 22 psychiatrist; (5) Dr. Goldsmith’s consultative medical opinion was “overly restrictive and inconsistent” with 23 the medical evidence of record and plaintiff’s mostly normal mental status examination; (6) plaintiff’s 24 mental status examination was “largely intact” during Dr. Simonian’s June 2013 consultative examination; 25 and (7) Dr. Simonian opined that plaintiff had only a mild limitation in her ability to adapt to common work 26 stressors. [AR 113, 115, 145-147]. The nonexamining psychological consultants’ analysis and opinions 27 provide further support for the ALJ’s evaluation of the medical opinion evidence and his finding of no 28 severe mental impairment. See SSR 96-6P (stating that nonexamining state agency medical opinions may, 8 1 “[i]n appropriate circumstances . . . be entitled to greater weight than the opinions of treating or examining 2 sources. For example, the opinion of a State agency medical or psychological consultant or other program 3 physician or psychologist may be entitled to greater weight than a treating source s medical opinion if the 4 State agency medical or psychological consultant's opinion is based on a review of a complete case record 5 that includes a medical report from a specialist in the individual's particular impairment which provides 6 more detailed and comprehensive information than what was available to the individual's treating source.”). 7 Plaintiff also contends that the ALJ improperly evaluated the November 2012 opinion of Dr. 8 Goldsmith, a consultative examining psychologist. [AR 326-330]. Dr. Goldsmith reviewed some medical 9 records, interviewed plaintiff, and conducted a mental status examination. Plaintiff said that she continued 10 to be depressed and to have “anxiety/panic attacks characterized by shortness of breath, increased pulse, and 11 fear.” [AR 327]. 12 depressed mood, and blunted affect. [AR 328-329]. She was fully oriented and exhibited clear and coherent 13 speech, organized and intact thought process, no grossly delusional thought content, no suicidal or 14 homicidal ideation, no hallucinations, clear sensorium, intact memory, normal intelligence, average fund 15 of knowledge, adequate insight and judgment, intact ability to abstract, and intact ability to concentrate and 16 to perform calculations based on dates. [AR 328-329]. Plaintiff’s mental status examination was significant for depressed facial expression, 17 Dr. Goldsmith diagnosed panic disorder without agoraphobia and major depression. [AR 329]. He 18 opined that plaintiff was not limited in her ability to understand, remember, and carry out both simple and 19 complex instructions; maintain regular attendance; perform work activities on a consistent basis; and 20 perform work activities without special or additional supervision. [AR 330]. Dr. Goldsmith opined that 21 plaintiff was moderately impaired in her ability to associate with day-to-day work activity, including 22 attendance and safety, and in her ability adapt to the stresses common to a normal work environment. He 23 also opined that she was “slow” in the ability to maintain concentration, attention, persistence, and pace. 24 [AR 330]. Her prognosis “depends on improvement in her orthopedic condition.” [AR 330]. 25 The ALJ did not err in rejecting Dr. Goldsmith’s opinion because it was premised largely on 26 plaintiff’s properly discredited subjective complaints, including complaints of panic attacks that were not 27 described or diagnosed by Dr. Suchman, and because it is inconsistent with plaintiff’s limited history of 28 mental health treatment. See Burrell, 775 F.3d at 1140-1141; Warre, 439 F.3d at 1006; Johnson, 60 F.3d 9 1 at 1433-1434. In addition, Dr. Simonian—who, like Dr. Goldsmith, was a board-certified 2 psychiatrist—conducted a consultative psychiatric examination about six months later and concluded that 3 plaintiff had no work-related functional limitations other than a mild limitation in the ability to adapt to 4 common workplace stressors. [AR 374]. Although the ALJ did not discuss Dr. Simonian’s opinion, he relied 5 on the opinions of the state agency psychological consultants, who considered it. Any error in the ALJ’s 6 failure to expressly consider that opinion was harmless because Dr. Simonian’s opinion is entirely consistent 7 with the ALJ’s finding that plaintiff did not have a severe mental impairment and did not have work-related 8 mental functional limitations. See Molina, 674 F.3d at 1121-1122 (holding that an ALJ’s error in failing 9 adequately to discuss lay testimony was harmless where it was “inconsequential to the ultimate nondisability 10 determination”). 11 Plaintiff’s subjective testimony 12 Plaintiff contends that the ALJ’s credibility finding is defective because he improperly rejected the 13 opinions of Dr. Suchman and Dr. Goldsmith, and because the ALJ failed to consider “plaintiff’s exemplary 14 work history.” [JS 34-40]. 15 Once a disability claimant produces evidence of an underlying physical or mental impairment that 16 could reasonably be expected to produce the pain or other subjective symptoms alleged, the adjudicator is 17 required to consider all subjective testimony as to the severity of the symptoms. Moisa v. Barnhart, 367 F.3d 18 882, 885 (9th Cir. 2004); Bunnell v. Sullivan, 947 F.2d 341, 345 (9th Cir. 1991) (en banc); see also C.F.R. 19 §§ 404.1529(a), 416.929(a) (explaining how pain and other symptoms are evaluated). Absent affirmative 20 evidence of malingering, the ALJ must then provide specific, clear and convincing reasons for rejecting a 21 claimant’s subjective complaints. Treichler, 775 F.3d at 1102; Vasquez v. Astrue, 547 F.3d 1101, 1105 22 (9th Cir. 2008); Carmickle v. Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1160-1161 (9th Cir. 2008). “In 23 reaching a credibility determination, an ALJ may weigh inconsistencies between the claimant's testimony 24 and his or her conduct, daily activities, and work record, among other factors.” Bray v. Comm’r of Soc. Sec. 25 Admin., 554 F.3d 1219, 1227 (9th Cir. 2009) (enumerating factors that bear on the credibility of subjective 26 complaints); Fair v. Bowen, 885 F.2d 597, 604 n.5 (9th Cir. 1989) (same). The ALJ’s credibility findings 27 “must be sufficiently specific to allow a reviewing court to conclude that the ALJ rejected the claimant’s 28 testimony on permissible grounds and did not arbitrarily discredit the claimant’s testimony.” Moisa, 367 10 1 F.3d at 885. However, if the ALJ’s assessment of the claimant’s testimony is reasonable and is supported 2 by substantial evidence, it is not the court’s role to “second-guess” it. Rollins v. Massanari, 261 F.3d 853, 3 857 (9th Cir. 2001). 4 Since the ALJ permissibly rejected the opinions of Dr. Suchman and Dr. Goldsmith, there is no merit 5 to plaintiff’s suggestion that the ALJ’s evaluation of that evidence undermined the reliability of his 6 credibility finding. Plaintiff’s work history is one factor, among others, that the ALJ may consider. See 7 Bray, 554 F.3d at 1227. Even assuming that the ALJ erred in failing to consider plaintiff’s work history as 8 a factor buttressing her credibility, the error was harmless because the ALJ articulated other specific, clear, 9 and convincing reasons that are sufficient to support his credibility finding. Those reasons (none of which 10 are challenged by plaintiff as factually or legally defective) include multiple specific inconsistencies within 11 plaintiff’s testimony, and between her testimony and other evidence in the record; evidence that plaintiff 12 stopped working because she was laid off, rather than because of any alleged disability; plaintiff’s limited 13 treatment history; plaintiff’s relatively normal range of daily activities, which included assisting her parents 14 with their meals, medical appointments, and other daily activities; plaintiff’s providing in-home support 15 services to a paying client four to six hours a week; driving several times a week; plaintiff’s going out alone; 16 plaintiff’s shopping for herself and for her client a total of about three times a week; plaintiff’s dusting, 17 doing dishes, sweeping, cleaning toilets, and helping with pet care; plaintiff’s watching television; and 18 plaintiff’s attending church monthly. [AR 22-23, 26-29]. See Molina, 674 F.3d at 1112-1113 (stating that 19 the ALJ may use “ordinary techniques of credibility evaluation” and may consider “inconsistencies either 20 in the claimant's testimony or between the testimony and the claimant's conduct,” “whether the claimant 21 engages in daily activities inconsistent with the alleged symptoms,” and whether “the claimant reports 22 participation in everyday activities indicating capacities that are transferable to a work setting,” and 23 remarking that “[e]ven where those activities suggest some difficulty functioning, they may be grounds for 24 discrediting the claimant's testimony to the extent that they contradict claims of a totally debilitating 25 impairment”); Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1175 (9th Cir. 2008) (holding that the ALJ 26 properly relied on the absence of objective evidence to corroborate the alleged severity of the claimant’s 27 subjective complaints and on her “normal activities of daily living, including cooking, house cleaning, doing 28 laundry, and helping her husband in managing finances”). 11 1 2 3 Conclusion For the reasons stated above, the Commissioner's decision is supported by substantial evidence and is free of legal error. Accordingly, the Commissioner’s decision is affirmed. 4 5 IT IS SO ORDERED. 6 7 8 9 May 25, 2017 _____________________________ ANDREW J. WISTRICH United States Magistrate Judge 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 12

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