Mejia v. Colvin
Filing
23
MEMORANDUM DECISION AND ORDER by Magistrate Judge Suzanne H. Segal. IT IS ORDERED that Judgment be entered REVERSING the decision of the Commissioner and REMANDING this case for the award of benefits. (See document for further details). (mr)
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UNITED STATES DISTRICT COURT
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CENTRAL DISTRICT OF CALIFORNIA
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EDITHA MEJIA,
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Case No. CV 16-6596 SS
Plaintiff,
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v.
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MEMORANDUM DECISION AND ORDER
NANCY A. BERRYHILL,1
Acting Commissioner of the
Social Security Administration,
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Defendant.
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I.
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INTRODUCTION
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Editha Mejia (“Plaintiff”) seeks review of the final decision
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of the Commissioner of the Social Security Administration (the
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“Commissioner” or the “Agency”) denying her application for social
26
security benefits.
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The parties consented, pursuant to 28 U.S.C.
Nancy A. Berryhill is now the Acting Commissioner of Social
Security and is substituted for former Acting Commissioner Carolyn
W. Colvin in this case. See Fed. R. Civ. P. 25(d).
1
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§ 636(c), to the jurisdiction of the undersigned United States
2
Magistrate Judge.
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the Commissioner is REVERSED and this case is REMANDED for an award
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of benefits consistent with this decision.
For the reasons stated below, the decision of
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II.
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THE FIVE-STEP SEQUENTIAL EVALUATION PROCESS
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9
To
qualify
for
disability
benefits,
a
claimant
must
10
demonstrate a medically determinable physical or mental impairment
11
that prevents her from engaging in substantial gainful activity
12
and that is expected to result in death or to last for a continuous
13
period of at least twelve months.
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721
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impairment must render the claimant incapable of performing the
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work she previously performed and incapable of performing any other
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substantial gainful employment that exists in the national economy.
18
Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999) (citing
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42 U.S.C. § 423(d)(2)(A)).
(9th
Cir.
1998)
(citing
42
Reddick v. Chater, 157 F.3d 715,
U.S.C.
§ 423(d)(1)(A)).
The
20
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To decide if a claimant is entitled to benefits, an ALJ
22
conducts a five-step inquiry.
23
steps are:
20 C.F.R. §§ 404.1520, 416.920.
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25
(1)
Is the claimant presently engaged in substantial
26
gainful activity?
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disabled.
If so, the claimant is found not
If not, proceed to step two.
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2
The
1
(2)
Is the claimant’s impairment severe?
2
claimant is found not disabled.
3
If not, the
step three.
4
(3)
If so, proceed to
Does the claimant’s impairment meet or equal one of
5
the specific impairments described in 20 C.F.R.
6
Part 404, Subpart P, Appendix 1?
7
claimant is found disabled.
8
step four.
9
(4)
If so, the
If not, proceed to
Is the claimant capable of performing her past
10
work?
11
If not, proceed to step five.
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(5)
If so, the claimant is found not disabled.
Is the claimant able to do any other work?
If not,
13
the claimant is found disabled. If so, the claimant
14
is found not disabled.
15
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Tackett, 180 F.3d at 1098-99; see also Bustamante v. Massanari,
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262 F.3d 949, 953-54 (9th Cir. 2001) (citations omitted); 20 C.F.R.
18
§§ 404.1520(b)-(g)(1) & 416.920(b)-(g)(1).
19
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The claimant has the burden of proof at steps one through
21
four, and the Commissioner has the burden of proof at step five.
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Bustamante, 262 F.3d at 953-54.
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affirmative duty to assist the claimant in developing the record
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at every step of the inquiry.
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claimant meets her burden of establishing an inability to perform
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past work, the Commissioner must show that the claimant can perform
27
some
28
national economy, taking into account the claimant’s residual
other
work
that
exists
Additionally, the ALJ has an
Id. at 954.
in
3
If, at step four, the
“significant
numbers”
in
the
1
functional capacity (“RFC”), age, education, and work experience.
2
Tackett, 180 F.3d at 1098, 1100; Reddick, 157 F.3d at 721; 20
3
C.F.R. §§ 404.1520(g)(1), 416.920(g)(1).
4
so by the testimony of a vocational expert or by reference to the
5
Medical-Vocational Guidelines appearing in 20 C.F.R. Part 404,
6
Subpart P, Appendix 2 (commonly known as “the Grids”).
7
v. Apfel, 240 F.3d 1157, 1162 (9th Cir. 2001).
8
has
9
limitations, the Grids are inapplicable and the ALJ must take the
both
exertional
The Commissioner may do
(strength-related)
and
Osenbrock
When a claimant
non-exertional
10
testimony of a vocational expert.
11
869 (9th Cir. 2000) (citing Burkhart v. Bowen, 856 F.2d 1335, 1340
12
(9th Cir. 1988)).
Moore v. Apfel, 216 F.3d 864,
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III.
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THE ALJ’S DECISION
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The ALJ employed the five-step sequential evaluation process
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in evaluating Plaintiff’s case.
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Plaintiff met the insured status requirements of the Act through
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December 31, 2018, and had not engaged in substantial gainful
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activity since July 27, 2013, her alleged onset date.
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Administrative Record (“AR”) 17).
23
Plaintiff
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schizoaffective disorder, conversion disorder, and depression. (AR
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17).
had
the
following
At step one, the ALJ found that
(Certified
At step two, the ALJ found that
severe
impairments:
psychosis,
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At step three, the ALJ found that Plaintiff did not have an
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impairment or combination of impairments that met or medically
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equaled one of the listed impairments in 20 C.F.R. Part 404, Subpart
2
P, Appendix 1. (AR 18).
3
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At step four, the ALJ determined that Plaintiff had the RFC
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to perform a full range of work at all exertional levels but with
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the following nonexertional limitations: she can have “occasional”
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interaction with the public; work should not require more than
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occasional
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critical checking of work; work should be limited to simple,
10
routine, repetitive tasks in a work environment not requiring more
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than occasional production or pace work; and work should involve
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only simple work-related decisions, with few if any changes in the
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work place.
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Plaintiff’s statements concerning the intensity, persistence and
15
limiting effects of her symptoms were not entirely credible.
16
20).
17
status examination performed by Dr. David Starr, Ph.D.; assigned
18
“little weight” to a global assessment of functioning (“GAF”) score2
19
assessed by treating physician Dr. David Kent; and assigned “some
20
weight”
21
Disability Determination Services physicians.
supervision,
(AR 19).
defined
as
requiring
a
supervisor’s
In making this finding, the ALJ ruled that
(AR
The ALJ also discussed the results of a consultative mental
to
the
opinions
of
non-treating
non-examining
State
(AR 21-22).
22
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Clinicians use a GAF score to rate the psychological, social, and
occupational functioning of a patient. A GAF score between 41 and
50 indicates serious symptoms (e.g. suicidal ideation, severe
obsessional rituals, frequent shoplifting) or any serious
impairment in social, occupational, or school functioning (e.g.,
no friends, unable to keep a job). Morgan v. Comm’r, 169 F.3d 595,
598 n.1 (9th Cir. 1999).
2
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At step four, the ALJ determined that Plaintiff could not
2
perform her past relevant work.
3
considered Plaintiff’s age, education, work experience, and RFC
4
and
5
significant numbers in the national economy, including dishwasher,
6
potato
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Accordingly, the ALJ concluded that Plaintiff was not disabled
8
under the Agency’s rules.
concluded
peeler
that
Plaintiff
machine
(AR 23).
could
operator,
At step five, the ALJ
perform
and
jobs
janitor.
available
(AR
in
23-24).
(AR 24).
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IV.
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STANDARD OF REVIEW
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Under 42 U.S.C. § 405(g), a district court may review the
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Commissioner’s decision to deny benefits.
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the Commissioner’s decision when the ALJ’s findings are based on
16
legal error or are not supported by “substantial evidence” in the
17
record as a whole.
18
(9th Cir. 2001) (citing Tackett, 180 F.3d at 1097); Smolen v.
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Chater, 80 F.3d 1273, 1279 (9th Cir. 1996) (citing Fair v. Bowen,
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885 F.2d 597, 601 (9th Cir. 1989)).
The court may set aside
Aukland v. Massanari, 257 F.3d 1033, 1035
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“Substantial evidence is more than a scintilla, but less than
23
a preponderance.”
24
Chater, 112 F.3d 1064, 1066 (9th Cir. 1997)).
25
evidence which a reasonable person might accept as adequate to
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support a conclusion.” Id. (citing Jamerson, 112 F.3d at 1066;
27
Smolen,
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evidence supports a finding, the court must “‘consider the record
80
F.3d
Reddick, 157 F.3d at 720 (citing Jamerson v.
at
1279).
To
6
determine
It is “relevant
whether
substantial
1
as a whole, weighing both evidence that supports and evidence that
2
detracts from the [Commissioner’s] conclusion.’” Aukland, 257 F.3d
3
at 1035 (quoting Penny v. Sullivan, 2 F.3d 953, 956 (9th Cir.
4
1993)).
5
or reversing that conclusion, the court may not substitute its
6
judgment for that of the Commissioner.
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21 (citing Flaten v. Sec’y, 44 F.3d 1453, 1457 (9th Cir. 1995)).
If the evidence can reasonably support either affirming
Reddick, 157 F.3d at 720-
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V.
10
DISCUSSION
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Plaintiff alleges that the ALJ erred in four ways.
First,
13
Plaintiff contends that the ALJ improperly found that Plaintiff
14
did not meet a listing at step three.
15
Points and Authorities (“P. Mem.”) at 1, 4-7).
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contends that the ALJ erred in failing to “evaluate and weigh” the
17
opinion of Dr. Starr.
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that the ALJ improperly assigned “little weight” to the GAF score
19
assessed by Dr. Kent and “some weight” to the opinions of the State
20
agency physicians.
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that the ALJ erred in discrediting her testimony regarding the
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intensity, persistence and limiting effects of her symptoms.
23
at 1, 9-11).
(Plaintiff’s Memorandum of
(Id. at 1, 7-8).
(Id. at 1, 8-9).
Second, Plaintiff
Third, Plaintiff contends
Fourth, Plaintiff contends
(Id.
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For
the
reasons
discussed
below,
the
Court
agrees
with
26
Plaintiff that this case should be remanded because the ALJ failed
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to properly evaluate the medical evidence in formulating an RFC
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1
and improperly discredited Plaintiff’s testimony.3
2
record as a whole, including the improperly discredited testimony
3
and medical evidence, establishes that Plaintiff is entitled to
4
benefits, the Court remands this case for an award of benefits.
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See Garrison v. Colvin, 759 F.3d 995, 1019-20 (9th Cir. 2014).
Because the
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1.
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The ALJ Did Not Properly Evaluate The Medical Evidence In
Formulating an RFC
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Social Security regulations require the Agency to “evaluate
11
every medical opinion [it] receive[s],” generally giving more
12
weight to evidence from a claimant’s treating physician.
13
§ 404.1527(c).
14
opinion of the nature and severity of the claimant’s impairments
15
is well-supported by accepted medical techniques, and consistent
16
with the other substantive evidence in the record, that opinion is
17
ordinarily controlling.
18
495 F.3d 625, 631 (9th Cir. 2007); see also Garrison, 759 F.3d at
19
1012 (even when contradicted, treating or examining physician’s
20
opinion is owed deference, and often the “greatest” weight).
20 C.F.R.
Where the Agency finds the treating physician’s
20 C.F.R. § 404.1527(c)(2); Orn v. Astrue,
21
22
Where a treating source is not given “controlling weight,”
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the Agency must give “good reasons” for the deviation.
24
§ 404.1527(c)(2); Garrison, 759 F.3d at 1012 & n.11.
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treating doctor’s opinion is contradicted by another doctor, the
26
ALJ must provide “specific and legitimate reasons” for rejecting
20 C.F.R.
If the
27
28
Because the Court remands on these grounds, it is unnecessary to
address Plaintiff’s other arguments.
3
8
1
the treating physician’s opinion.
2
157 F.3d at 725. “Where an ALJ does not explicitly reject a medical
3
opinion or set forth specific, legitimate reasons for crediting
4
one medical opinion over another, he errs.
5
errs when he rejects a medical opinion or assigns it little weight
6
while
7
explanation that another medical opinion is more persuasive, or
8
criticizing it with boilerplate language that fails to offer a
9
substantive basis for his conclusion.”
doing
nothing
more
than
Orn, 495 F.3d at 632; Reddick,
ignoring
In other words, an ALJ
it,
asserting
without
Garrison, 759 F.3d at 1012-
10
13 (citing Nguyen v. Chater, 100 F.3d 1462, 1464 (9th Cir. 1996)).
11
Here, the Court agrees with Plaintiff that the ALJ failed to
12
properly evaluate the medical evidence, including the treating
13
doctor’s opinions, in formulating an RFC.
14
15
Plaintiff argues that the ALJ improperly failed to “evaluate
16
and weigh” Dr. Starr’s opinion.
17
12,
18
examination.
19
anxiety and depression,” occasional panic attacks, hearing voices,
20
some sleep disturbance and nightmares, and suicidal thoughts.
21
431).
22
haloperidol,
23
Plaintiff’s
24
questions testing her mental status.
25
diagnosed
26
type, first episode, currently in remission.
27
reported that Plaintiff had “problems with mood and thinking,”
28
“problems with mood and anxiety with occasional panic attacks,”
2013,
Dr.
Starr
(P. Mem. at 1, 7-8).
performed
(AR 430-33).
a
consultative
On November
psychological
Plaintiff reported “problems with
(AR
Plaintiff reported that she had been prescribed Seroquel,
and
Loestrin.
appearance,
Plaintiff
with
(AR
demeanor,
431).
Dr.
and
responses
examined
to
(AR 431-32).
schizoaffective
9
Starr
disorder,
(AR 432).
several
Dr. Starr
depressive
Dr. Starr
1
and hallucinations.
2
“marginally oriented” and had difficulty paying attention and
3
concentrating; her fund of information was “extremely limited”;
4
she did not think abstractly; her judgment was impaired; and she
5
required assistance to manage funds.
6
assign Dr. Starr’s opinion any particular weight, but discussed
7
the examination and stated that Dr. Starr “never opined that
8
[Plaintiff] was precluded from work activity within the confines
9
of the [RFC].”
(AR 432).
Dr. Starr found that Plaintiff was
(AR 432).
The ALJ did not
(AR 21-22).
10
11
Although the RFC assessed by the ALJ limited Plaintiff’s
12
interaction with others and the complexity of Plaintiff’s work,
13
(AR 19), the Court disagrees with the ALJ’s apparent conclusion
14
that the RFC fully accounts for the limitations and conditions
15
observed by Dr. Starr.
16
explain how the RFC accounts for Plaintiff’s limited fund of
17
information, suicidal thoughts, and hallucinations, (AR 432), or
18
whether these conditions have any effect on Plaintiff’s ability to
19
work.
20
discussion of Dr. Starr’s observations was inadequate.
For example, the ALJ does not adequately
The Court therefore agrees with Plaintiff that the ALJ’s
21
22
Plaintiff also alleges that the ALJ erred in assigning “little
23
weight” to a GAF score of 45 assessed by treating physician Dr.
24
David A. Kent, M.D., when Plaintiff was released from psychiatric
25
hospitalization on September 6, 2013.
26
this score “little weight” because it was “merely a snapshot view”
27
of
28
reflective of “the entire period at issue.”
Plaintiff’s
functioning
“at
10
a
(AR 21, 360).
particular
The ALJ gave
time”
(AR 21).
and
not
The Court
1
agrees with Plaintiff that the ALJ’s opinion overlooks without
2
explanation the GAF score of 45 assessed by treating physician Dr.
3
Michael Millward on October 17, 2013, (AR 517-18), and a GAF score
4
of 29 assessed by Dr. James Piktel at Intermountain Hospital on
5
December 22, 2014. (AR 597).
6
Piktel reported that Plaintiff had been involuntarily admitted to
7
Intermountain Hospital due to “overwhelming suicidal ideation and
8
auditory hallucinations.”
9
herself with a knife, but allegedly her boyfriend took the knife
10
away.
11
Elsewhere in his evaluation, Dr.
(AR 594).
Plaintiff “had a plan to kill
(AR 594).
In the ER, she was observed hitting herself with a chair.”
12
13
Defendant argues that a GAF score is not a “medical opinion,”
14
and that the ALJ need not have discussed Plaintiff’s GAF scores at
15
all.
16
at 6-8).
17
measure a claimant’s ability to function in a work environment,
18
the Agency has endorsed the use of GAF scores as one form of
19
evidence reflective of mental functioning.
20
Message 13066 (effective July 22, 2013) (“We consider a GAF rating
21
as opinion evidence.”).
22
the GAF score assessed by Dr. Kent, rejecting it because it was
23
“merely a snapshot view” of Plaintiff’s condition.
24
noted supra, however, other physicians assessed low GAF scores at
25
other
26
contradicting the ALJ’s sole stated reason for not affording more
27
weight to Dr. Kent’s score.
28
indicating serious limitations in functioning, over a considerable
(Defendant’s Memorandum of Points and Authorities (“D. Mem.”)
Preliminarily, although a GAF score does not directly
times
during
SSA Administrative
In any event, the ALJ chose to analyze
Plaintiff’s
treatment
(AR 21).
history,
As
directly
Because there were numerous GAF scores
11
1
period of time, the ALJ should have evaluated this evidence.
2
ALJ therefore failed to provide adequate reasons for rejecting the
3
score assessed by Dr. Kent.
The
Garrison, 759 F.3d at 1012-13.
4
5
Plaintiff also argues that the ALJ erred in assigning “some
6
weight” to the opinions of non-treating, non-examining State agency
7
physicians.
8
State agency opinions “do not as a general matter deserve as much
9
weight
as
(AR 22).
those
of
The ALJ’s opinion acknowledged that the
examining
or
treating
physicians,”
but
10
nevertheless ruled that “those opinions do deserve some weight,
11
particularly in a case like this in which there exist a number of
12
other reasons to reach similar conclusions (as explained throughout
13
this decision).”
14
“supported a finding of ‘not disabled.’”
(AR 22).
The ALJ noted that the opinions
(AR 22).
15
16
The Court agrees that the ALJ’s reasons for assigning “some
17
weight” to the opinions of the State agency doctors and relying on
18
them in finding Plaintiff “not disabled” are so vague as to preclude
19
review of his decision on this issue.
20
relied on these opinions rather than the opinions of treating or
21
examining physicians, he did not provide sufficient reasons for
22
doing so.
To the extent that the ALJ
Garrison, 759 F.3d at 1012-13.
23
24
For the foregoing reasons, the Court agrees with Plaintiff
25
that the ALJ failed to properly evaluate the medical evidence in
26
formulating an RFC.
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\\
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\\
12
1
2.
The ALJ Improperly Discredited Plaintiff’s Testimony
2
3
Unless there is affirmative evidence showing that the claimant
4
is
5
testimony regarding the intensity, persistence and limiting effects
6
of her symptoms must be “clear and convincing.”
7
Comm’r, 574 F.3d 685, 693 (9th Cir. 2009).
8
“ordinary
9
inquiry.
malingering,
the
ALJ’s
techniques
of
reasons
for
credibility
Smolen, 80 F.3d at 1284.
rejecting
a
claimant’s
Valentine v.
The ALJ may use
evaluation”
during
this
The ALJ may consider, among
10
other
11
(2) inconsistencies in her testimony or between testimony and
12
conduct;
13
(5) testimony from physicians and third parties concerning the
14
nature,
15
complains.
16
2002); see also Smolen, 80 F.3d 1273 at 1284.
17
credibility finding is supported by substantial evidence in the
18
record, the court may not engage in second-guessing.
19
F.3d at 958-59.
things:
(3)
(1)
her
severity,
a
plaintiff’s
daily
and
reputation
activities;
effect
of
(4)
the
her
for
truthfulness;
work
symptoms
record;
of
which
and
she
Thomas v. Barnhart, 278 F.3d 947, 958-59 (9th Cir.
If the ALJ’s
Thomas, 80
20
21
22
As
Plaintiff
observes,
the
ALJ’s
only
clear
statement
regarding Plaintiff’s credibility was:
23
24
[Plaintiff] alleges an inability to perform work activity
25
due to symptoms of her mental impairments such as an
26
inability to concentrate, poor memory, limited focus,
27
forgetfulness, panic attacks, and an inability to work
28
with others due to anxiety and auditory hallucinations.
13
1
Her physical complaints have been discussed above and
2
found non-severe.
3
4
After
5
undersigned
6
determinable impairments could reasonably be expected to
7
cause
8
statements
9
limiting effects of these symptoms are not entirely
10
careful
the
consideration
finds
alleged
that
of
the
evidence,
[Plaintiff’s]
symptoms;
concerning
the
however,
intensity,
the
medically
[Plaintiff’s]
persistence
and
credible for the reasons explained in this decision.
11
12
(AR 20).
13
that he found not credible and to link that testimony to specific
14
portions of the record rebutting Plaintiff’s testimony.
15
cannot conclude that the ALJ provided clear and convincing reasons
16
for discrediting Plaintiff’s testimony.
17
775 F.3d 1133, 1138-39 (9th Cir. 2014) (“The government argues that
18
[c]laimant’s
19
headaches a week conflicts with the medical record.
20
matter, the ALJ never connected the medical record to [c]laimant’s
21
testimony about her headaches. Although the ALJ made findings . . .
22
concerning [c]laimant’s treatment for headaches, he never stated
23
that he rested his adverse credibility determination on those
24
findings.
25
argument that the history of treatment for headaches is a specific,
26
clear, and convincing reason to support the credibility finding.”);
27
Brown-Hunter v. Colvin, 806 F.3d 487, 494 (9th Cir. 2015). (“Our
28
review of the ALJ’s written decision reveals that . . . she simply
The ALJ wholly failed to identify the specific testimony
testimony
For
that
that
reason
she
has,
alone,
14
we
The Court
See Burrell v. Colvin,
on
average,
reject
the
one
or
two
As an initial
government’s
1
stated her non-credibility conclusion and then summarized the
2
medical evidence supporting her RFC determination.
3
the sort of explanation or the kind of ‘specific reasons’ we must
4
have in order to review the ALJ’s decision meaningfully, so that
5
we may ensure that the claimant’s testimony was not arbitrarily
6
discredited.
7
district court could be reasonable inferences drawn from the ALJ’s
8
summary
9
exclusively the ALJ’s to make, and ours only to review. . . .
10
Because the ALJ failed to identify the testimony she found not
11
credible, she did not link that testimony to the particular parts
12
of the record supporting her non-credibility determination.
13
was legal error.”).
Although
of
the
the
evidence,
inconsistencies
the
This is not
identified
credibility
by
determination
the
is
This
14
15
Defendant
nevertheless
argues
that
the
ALJ
provided
16
appropriate reasons for discrediting Plaintiff’s testimony.
17
analyzing whether Plaintiff’s impairments were “severe,” the ALJ
18
stated
19
following a car accident in July 2013, treatment notes in November
20
2013 stated that Plaintiff was in no “acute distress” and was not
21
in pain.
22
used a cane at times, there was “never a provider who prescribed a
23
cane as there were no medical findings that she needed assistance
24
with gait.”
25
with pain medications” after the accident, and “was quite active
26
with walking and exercising.
27
severe as alleged.”
28
“noted
that,
although
(AR 18).
a
(AR 18).
treatment
Plaintiff
complained
of
physical
In
pain
The ALJ also found that, although Plaintiff
The ALJ also noted that Plaintiff “did well
(AR 20).
record
Thus, the accident was likely not as
Defendant also argues that the ALJ
showing
15
largely
normal
physical
1
findings.”
2
Plaintiff’s mental impairments, Defendant argues that the ALJ
3
“showed how Plaintiff’s psychological conditions stabilized with
4
medication
5
“treatment gap” between May 2014 and January 2015.
6
10 (citing AR 21-22)).
(D. Mem. at 9 (citing AR 20-21)).
after
treatment
in
September
With respect to
2013”
and
noted
a
(D. Mem. at 9-
7
8
9
A court can only affirm based upon the reasons that the ALJ
actually relied upon in his decision.
Bray v. Comm’r, 554 F.3d
10
1219,
11
administrative law require us to review the ALJ’s decision based
12
on the reasoning and factual findings offered by the ALJ — not post
13
hoc rationalizations that attempt to intuit what the adjudicator
14
may have been thinking.”).
15
no
16
Defendant’s
17
conclusion.
1225
clear
(9th
reasons
Cir.
for
“post
hoc
2009)
(“Long-standing
principles
of
As discussed supra, the ALJ provided
discrediting
Plaintiff’s
rationalizations”
do
testimony,
not
and
disturb
this
18
19
Moreover, several of the justifications asserted by Defendant
20
are overstated or questionable.
21
failure to seek or follow prescribed medical treatment may suggest
22
that the alleged impairment is not severe or disabling, see Fair,
23
885 F.2d at 603, the Ninth Circuit has cautioned against drawing
24
such
25
impairments.
26
(claimant’s failure to seek treatment for depression is an improper
27
basis from which to conclude that the claimant does not suffer from
inferences
when
For example, although a claimant’s
evaluating
a
claimant’s
asserted
mental
Nguyen v. Chater, 100 F.3d 1462, 1465 (9th Cir. 1996)
28
16
1
it).4
2
can be consistent with a claim of disability. See Lester v. Chater,
3
81 F.3d 821, 833 (9th Cir. 1995) (“Occasional symptom-free periods
4
– and even the sporadic ability to work – are not inconsistent with
5
disability.”).
Additionally, symptom-free periods or temporary improvement
6
7
Defendant’s remaining justifications for the ALJ’s decision
8
appear to be based on alleged inconsistencies between the medical
9
evidence and Plaintiff’s impairments.
However, it is improper to
10
reject subjective testimony based solely on its inconsistencies
11
with the objective medical evidence.
Bray, 554 F.3d at 1227.
12
13
For the foregoing reasons, the Court agrees with Plaintiff
14
that the ALJ failed to provide legally sufficient reasons for
15
discrediting Plaintiff’s testimony regarding her limitations.
16
17
3.
The ALJ’s Errors Warrant Remand For An Award Of Benefits
18
19
The Court remands for an award of benefits where “(1) the
20
record
21
proceedings would serve no useful purpose; (2) the ALJ has failed
22
to provide legally sufficient reasons for rejecting evidence,
23
whether claimant testimony or medical opinion; and (3) if the
24
improperly discredited evidence were credited as true, the ALJ
25
would
has
be
been
required
fully
to
developed
find
the
and
claimant
further
administrative
disabled
on
remand.”
26
27
28
Moreover, the ALJ identified a “treatment gap” between May 2014
and January 2015, (AR 22), but, as noted supra, it appears that
Plaintiff was psychiatrically hospitalized in December 2014 due to
overwhelming suicidal ideation and hallucinations. (AR 594).
4
17
1
Garrison, 759 F.3d at 1020 (citations omitted).
2
true” rule allows courts the flexibility to remand for further
3
proceedings only where the record as a whole “creates serious
4
doubt” that a claimant is disabled.
The “credit-as-
Id. at 1021.
5
6
Remand for benefits under Garrison is appropriate.
The Court
7
is satisfied that the record has been fully developed, that further
8
administrative proceedings would serve no useful purpose, and that
9
if the discounted testimony and opinions were credited as true,
10
Plaintiff would be entitled to benefits.
11
12
Particularly, the Court observes that the record as a whole
13
leaves no serious doubt that Plaintiff is disabled.
14
F.3d at 1021.
15
2, 2015 hearing before the ALJ.
16
body “hurts a lot,” her right hand “malfunctions,” and she hears
17
voices, which tell her to “run” or “kill [her]self,” “a lot.”
(AR
18
60,
two
19
hospitalizations for psychiatric issues along with medical and
20
physical impairments that, taken together, would be disabling.
64).
Garrison, 759
Plaintiff was 51 years old at the time of the April
Plaintiff’s
(AR 55).
medical
She testified that her
history
documents
21
22
The Court also notes that Plaintiff was granted disability
23
benefits for a subsequent application covering the period after
24
June 16, 2015.
25
the subsequent grant of benefits is not itself determinative of
26
issues in this case, which covers an earlier time period, (D. Mem.
27
at 11-12), it has some impact on the Court’s analysis of whether
28
there would be any value in further administrative proceedings.
(Dkt. No. 19).
Although Defendant is correct that
18
1
2
Accordingly, the Court remands with directions to the Agency
to calculate and award benefits to Plaintiff.
3
4
VI.
5
CONCLUSION
6
7
For the foregoing reasons, IT IS ORDERED that Judgment be
8
entered REVERSING the decision of the Commissioner and REMANDING
9
this
case
for
the
award
of
benefits.
The
Clerk
10
of the Court shall serve copies of this Order and the Judgment on
11
counsel for both parties.
12
13
DATED:
June 22, 2017
14
15
16
/S/
SUZANNE H. SEGAL
UNITED STATES MAGISTRATE JUDGE
17
18
19
20
THIS DECISION IS NOT INTENDED FOR PUBLICATION IN LEXIS/NEXIS,
WESTLAW OR ANY OTHER LEGAL DATABASE.
21
22
23
24
25
26
27
28
19
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