Rios v. Commissioner Social Security Administration
Filing
35
Opinion and Order. The Commissioner's decision is AFFIRMED. Signed on 5/15/12 by Magistrate Judge Janice M. Stewart. (jlr)
UNITED STATES DISTRICT COURT
DISTRICT OF OREGON
PORTLAND DIVISION
ARTHUR AL RIOS, SR.,
Plaintiff,
3:10-CV-01422 -ST
v.
OPINION AND ORDER
COMMISSIONER OF THE SOCIAL
SECURITY ADMINISTRATION,
Defendant.
STEWART, Magistrate Judge:
INTRODUCTION
Plaintiff, Arthur Al Rios, Sr. (“Rios”), seeks judicial review of the final decision by
the Social Security Commissioner (“Commissioner”) denying his applications for Disability
Insurance Benefits (“DIB”) under Title II of the Social Security Act (“SSA”), 42 USC
§§ 401-33, and Supplemental Security Income (“SSI”) under Title XVI of the SSA, 42 USC
§§ 1381-83f. This court has jurisdiction to review the Commissioner’s decision pursuant to
42 USC § 405(g) and § 1383(c)(3).
All parties have consented to allow a Magistrate Judge to enter final orders and
judgment in this case in accordance with FRCP 73 and 28 USC § 636(c).
For the reasons set forth below, the Commissioner’s decision is AFFIRMED.
1 – OPINION AND ORDER
ADMINISTRATIVE HISTORY
Rios protectively filed for DIB and SSI on October 26, 2006, alleging a disability
onset date of December 31, 2005. Tr. 12, 166-74.1 His applications were denied initially on
January 9, 2007, and on reconsideration on August 8, 2007. Tr. 12, 91-94. On August 26,
2009, a hearing was held before Administrative Law Judge (“ALJ”) Catherine R. Lazuran.
Tr. 29-90. The ALJ issued a decision on December 8, 2009, finding Rios not disabled.
Tr. 9-23. The Appeals Council denied a request for review on October 26, 2010. Tr. 1-3.
Therefore, the ALJ’s decision is the Commissioner’s final decision subject to review by this
court. 20 CFR § 410.670a.
BACKGROUND
Born in 1970, Rios was age 39 at the time of the hearing before the ALJ. Tr. 34. He
has a high school education and took community college classes, earning a certificate in
“Automated Office Work.” Tr. 6, 529. His past relevant work experience includes jobs in
customer service, food service, and data entry, as well as jobs as a kitchen helper, janitor,
receptionist, warehouse worker, cashier (in a sheltered work environment), and a
timekeeper/floor manager (also in a sheltered work environment). Tr. 21, 271. Rios alleges
that he is unable to work due to the combined impairments of degenerative disk disease of
the lumbar spine, bipolar disorder, residua of injuries to both hands and legs with arthritis,
depression, anxiety, chronic pain syndrome, and hepatitis C. Tr. 269.
DISABILITY ANALYSIS
Disability is the “inability to engage in any substantial gainful activity by reason of
any medically determinable physical or mental impairment which can be expected to result
1
Citations are to the page(s) indicated in the official transcript of the record filed on April 19, 2011 (docket
#12).
2 – OPINION AND ORDER
in death or which has lasted or can be expected to last for a continuous period of not less
than 12 months[.]” 42 USC § 423(d)(1)(A). The ALJ engages in a five-step sequential
inquiry to determine whether a claimant is disabled within the meaning of the Act. 20 CFR
§§ 404.1520, 416.920; Tackett v. Apfel, 180 F3d 1094, 1098-99 (9th Cir 1999).
At step one, the ALJ determines if the claimant is performing substantial gainful
activity. If so, the claimant is not disabled. 20 CFR §§ 404.1520(a)(4)(i) & (b),
416.920(a)(4)(i) & (b).
At step two, the ALJ determines if the claimant has “a severe medically determinable
physical or mental impairment” that meets the 12-month durational requirement. 20 CFR
§§ 404.1520(a)(4)(ii) & (c), 416.909, 416.920(a)(4)(ii) & (c). Absent a severe impairment,
the claimant is not disabled. Id.
At step three, the ALJ determines whether the severe impairment meets or equals an
impairment “listed” in the regulations. 20 CFR §§ 404.1520(a)(4)(iii) & (d),
416.920(a)(4)(iii) & (d); 20 CFR Pt. 404, Subpt. P, App. 1 (Listing of Impairments). If the
impairment is determined to meet or equal a listed impairment, then the claimant is
disabled.
If adjudication proceeds beyond step three, the ALJ must first evaluate medical and
other relevant evidence in assessing the claimant’s residual functional capacity (“RFC”).
The claimant’s RFC is an assessment of work-related activities the claimant may still
perform on a regular and continuing basis, despite the limitations imposed by his or her
impairments. 20 CFR §§ 404.1520(e), 416.920(e); Social Security Ruling (“SSR”) 96-8p,
1996 WL 374184 (July 2, 1996).
3 – OPINION AND ORDER
At step four, the ALJ uses the RFC to determine if the claimant can perform past
relevant work. 20 CFR §§ 404.1520(a)(4)(iv) & (e), 416.920(a)(4)(iv) & (e). If the
claimant cannot perform past relevant work, then at step five, the ALJ must determine if the
claimant can perform other work in the national economy. Bowen v. Yuckert, 482 US 137,
142 (1987); Tackett v. Apfel, 180 F3d 1094, 1099 (9th Cir 1999); 20 CFR
§§ 404.1520(a)(4)(v) & (g), 416.920(a)(4)(v) & (g).
The initial burden of establishing disability rests upon the claimant. Tackett, 180
F3d at 1098. If the process reaches step five, the burden shifts to the Commissioner to show
that jobs exist in the national economy within the claimant’s RFC. Id. If the Commissioner
meets this burden, then the claimant is not disabled. 20 CFR §§ 404.1520(a)(4)(v) & (g),
416.920(a)(4)(v) & (g), 416.960(c).
ALJ’S FINDINGS
At step one, the ALJ concluded that Rios has not engaged in substantial gainful
activity since December 31, 2005. Tr. 14. Although he worked after his alleged disability
onset date, the work activity did not rise to the level of substantial gainful activity. Id.
At step two, the ALJ determined that Rios has the severe impairments of a mood
disorder, a history of drug addiction, a history of hand fractures, and hepatitis C. Id.
At step three, the ALJ concluded that Rios does not have an impairment or
combination of impairments that meets or equals any of the listed impairments. Tr. 15-16.
The ALJ found that Rios has the RFC to perform light work, except he: (1) needs to avoid
extended standing and walking and can walk only four hours in an eight hour day; (2) needs
to be able to stretch his left leg occasionally with a sit/stand option; (3) can perform simple
and detailed tasks; (4) should avoid hazards; (5) can occasionally lift 20 pounds and
4 – OPINION AND ORDER
frequently lift 10 pounds; and (6) can occasionally perform gross and fine manipulation,
push with the left lower extremity, climb, kneel, crouch, and crawl, use the left nondominant arm for fine fingering. Tr. 16.
Based upon the testimony of a vocational expert (“VE”), the ALJ determined at step
four that Rios’s RFC allowed him to perform his past relevant work as a receptionist.
Tr. 21-22. Alternatively, at step five, the ALJ found that considering Rios’s age, education,
and RFC, he was capable of performing jobs as a general office worker and a surveillance
system monitor. Tr. 23. Accordingly, the ALJ determined that Rios was not disabled at any
time through the date of the decision.
STANDARD OF REVIEW
The reviewing court must affirm the Commissioner’s decision if it is based on proper
legal standards and the findings are supported by substantial evidence in the record. 42
USC § 405(g); Lewis v. Astrue, 498 F3d 909, 911 (9th Cir 2007). This court must weigh the
evidence that supports and detracts from the ALJ’s conclusion. Lingenfelter v. Astrue, 504
F3d 1028, 1035 (9th Cir 2007), citing Reddick v. Chater, 157 F3d 715, 720 (9th Cir 1998).
The reviewing court may not substitute its judgment for that of the Commissioner. Ryan v.
Comm’r of Soc. Sec. Admin., 528 F3d 1194, 1205 (9th Cir 2008), citing Parra v. Astrue, 481
F3d 742, 746 (9th Cir 2007); see also Edlund v. Massanari, 253 F3d 1152, 1156 (9th Cir
2001). Where the evidence is susceptible to more than one rational interpretation, the
Commissioner’s decision must be upheld if it is “‘supported by inferences reasonably drawn
from the record.’” Tommasetti v. Astrue, 533 F3d 1035, 1038 (9th Cir 2008), quoting Batson
v. Comm’r of Soc. Sec. Admin., 359 F3d 1190, 1193 (9th Cir 2004); see also Lingenfelter,
504 F3d at 1035.
5 – OPINION AND ORDER
ANALYSIS
The thrust of this appeal is that the ALJ erred by failing to follow the correct analysis in
evaluating Rios’s mental disorders. Specifically, Rios asserts that the ALJ erred at step two by
finding his impairments of depression, attention deficit disorder, chronic pain syndrome, and
bipolar disorder to be non-severe.
At step two, the ALJ noted “other symptoms and complaints that appear periodically
throughout the record,” including those cited by Rios (depression, attention deficit disorder,
chronic pain syndrome, bipolar disorder) and a variety of other physical symptoms. Tr. 15. The
ALJ concluded that these alleged impairments were not medically severe “because, considered
singly or in combination, [they] caused only transient and mild symptoms and limitations, are
well controlled by treatment or are otherwise not adequately supported by the medical evidence
in the record.” Id.
I. Special Psychiatric Review Technique
Rios contends that the ALJ failed to perform the special psychiatric review technique at
step two and that a proper analysis would have resulted in a finding of disability based on Listing
12.04. In support, Rios relies exclusively on a recent Ninth Circuit decision under Title II of the
SSA holding that:
In step two of the disability determination, an ALJ must determine
whether the claimant has a medically severe impairment or
combination of impairments. In making this determination, an
ALJ is bound by 20 C.F.R. § 404.1520a. That regulation requires
those reviewing an application for disability to follow a special
psychiatric review technique . . . . Specifically, the reviewer must
determine whether an applicant has a medically determinable
mental impairment, . . . rate the degree of functional limitation for
four functional areas, . . . determine severity of the mental
impairment (in part based on the degree of functional limitation),
6 – OPINION AND ORDER
. . . and then, if the impairment is severe, proceed to step three of
the disability analysis to determine if the impairment meets or
equals a specific listed mental disorder.
Keyser v. Comm’r of Soc. Sec. Admin., 648 F3d 721, 725 (9th Cir 2011) (citations omitted).
Following her step two conclusion, the ALJ considered at step three whether Rios’s
mental impairments met or medically equaled a listed impairment, specifically considering
Listing 12.04. Rios contends that under Keyser, that step three analysis should have been
performed at step two.
Rios’s reliance on Keyser is misplaced. In Keyser, “the written decision did not
document the ALJ's application of the [psychiatric review] technique and did not include a
specific finding as to the degree of limitation in any of the four functional areas.” Keyser, 648
F3d at 726. Instead, the ALJ simply referenced and adopted a Psychiatric Review Technique
Form (“PRTF”) completed by a state agency medical consultant and “did not state his findings as
to the four functional areas[.]” Id. As a result, the ALJ’s analysis at step three also was
erroneous because he never addressed whether the claimant’s mental impairment met or equaled
a listed impairment. The court found that this error was “understandable given the ALJ’s
adoption” of the state agency medical consultant’s “conclusion that the medical impairment was
not severe.” Id at 727.
Unlike Keyser, the ALJ resolved step two in Rios’s favor, finding several severe
impairments. Thus, a failure to find other severe impairments is harmless error. See Gray v.
Comm’r of Soc. Sec. Admin., 365 Fed Appx 60, 61 (9th Cir 2010) (rejecting argument that the
ALJ erred at step two by determining certain impairments were nonsevere, because any alleged
error was harmless since “the ALJ concluded that [claimant’s] other medical problems were
severe impairments”); see also Mondragon v. Astrue, 364 Fed Appx 346, 348 (9th Cir 2010)
7 – OPINION AND ORDER
(“Any alleged error at step two was harmless because step two was decided in [claimant]’s favor
with regard to other ailments.”).
In addition, unlike Keyser, the ALJ’s written decision is not devoid of reference to the
four functional areas. At step three, the ALJ specifically found that Rios’s “mental
impairments, considered singly and in combination, do not meet or medically equal the criteria
of listings 12.04 and 12.09.” Tr. 15. In reaching that conclusion, the ALJ made specific findings
as to the four functional areas. The ALJ assigned ratings to three functional areas of either
“mild” (social functioning) or “mild to moderate” (activities of daily living; concentration,
persistence or pace) and found that Rios experienced “no episodes of decompensation.” Tr. 1516. Accordingly, she concluded that the “paragraph B” criteria of Listing 12.04 were not
satisfied. Tr. 16. Rios does not state exactly what symptoms or limitations he experiences
that merit a “severe” rating for any of the functional areas.
Moreover, the ALJ stated that “[t]he limitations in the ‘paragraph B’ criteria are not a
residual functional capacity assessment but are used to rate the severity of mental
impairments at steps 2 and 3 of the sequential evaluation process.” Tr. 16 (emphasis
added). Based on this statement, the ALJ presumably included both the severe and
nonsevere mental impairments identified at step two when performing the step three
analysis.
In short, the ALJ did not commit error at step two, or alternatively, if she did, the error
was harmless.
III. Step Three Analysis
Rios also argues that that the error at step two tainted the ALJ’s step three analysis by
failing to consider his non-severe impairments in determining if he met or equaled Listing 12.04.
8 – OPINION AND ORDER
A claimant bears the burden of proving she has an impairment that meets or equals the criteria of
an impairment listed in Appendix 1 of the Commissioner’s regulations. Burch v. Barnhart, 400
F3d 676, 683 (9th Cir 2005). To meet this burden a claimant must offer a “theory plausible or
otherwise, as to how his [impairments] combined to equal a listed impairment.” Lewis v. Apfel,
236 F3d 503, 514 (9th Cir 2001). That is to say, a claimant should “specify which listing she
believes she meets or equals . . . [and] set forth any evidence which would support the diagnosis
and findings of a listed impairment.” Burch, 400 F3d at 683.
Rios argues that the ALJ cited evidence which contradicts her findings and ignored other
evidence. In particular, he contends that the ALJ erred by finding only a “mild” limitation in his
ability to maintain social functioning because that finding is inconsistent with the observation
that he is sometimes violent with others when stressed. The ALJ credited Rios’s own statement
that he handles stress by “get[ting] mad and sometimes violent with others,” finding it “vague”
but indicative of “some social problems.” Tr. 15, citing Tr. 267 (Ex. 8E/7). Rios does not
identify other evidence in the record which he contends merits a finding of a more serious
limitation in his ability to maintain social functioning. At the hearing, Rios testified that in early
2008 he did not feel he needed treatment for psychological issues. Tr. 68. Instead, he would
report any issues to his attending physician. Id. Treatment records from Westside Primary Care
Clinic, Portland Alternative Health Center, and LifeWorks NW spanning the time period
between late 2006 and September 1, 2009, reveal nothing more than intermittent bouts of
irritability which Rios’s treatment providers were managing with medication, and one altercation
in early January 2007 during which Rios was punched in the face. Tr. 400-415, 596-726.2 As
2
Such references, in chronological order, include: Tr. 661 (12/14/06, “Less irritated.”); 660 (1/8/07, injury to face from being
punched); 658 (1/11/07, “Mood more stable. Less irritable.”); 657 (2/26/07, “still very irritable”); 655 (3/12/07, “mood ‘fine’ &
irritable”); 651 (7/20/07, “mood okay”); 649 (8/27/07, “really irritable”); 648 (9/25/2007, “less irritable”); 647 (12/13/2007,
9 – OPINION AND ORDER
noted by the ALJ, Rios spends time with others in a variety of settings including treatment,
meetings, court appearances, and the probation office, all without apparent difficulty. Tr. 19-20.
An exhaustive review of the record reveals no basis on which to overturn the ALJ’s finding that
Rios has only mild limitations in his ability to maintain social functioning.
Rios also contends that the ALJ’s finding of only “mild to moderate” restrictions in his
activities of daily living is inconsistent with his highly structured and supervised daily activities
which include living in a homeless shelter, taking his meals either at the shelter or the probation
office, and working in a sheltered environment. While recognizing that Rios engaged in “fairly
extensive” daily activities, the ALJ found that he was not “completely independent” in those
activities and, therefore, assigned a “mild to moderate” restriction. Tr. 15. The relevant
regulation includes a multitude of events under the heading of “activities of daily living,”
including “adaptive activities such as cleaning, shopping, cooking, taking public transportation,
paying bills, maintaining a residence, caring appropriately for your grooming and hygiene, using
telephones and directories, and using a post office.” 20 CFR Pt. 404, Subpt. P., App. 1,
§ 12.00(C)(1). Nothing in the record calls for any greater finding of limitation in Rios’s
activities of daily living. Instead, Rios’s arguments are, at best, an improper request that this
court substitute its judgment for that of the Commissioner. Ryan, 528 F3d at 1205; Edlund, 253
F3d at 1156. Accordingly, there is no basis from which to conclude that the ALJ erred in making
the paragraph B findings regarding Listing 12.04.
Rios also disputes the paragraph C findings. At step two, the ALJ found Rios’s mood
disorder to be a severe impairment, but not his depression, attention deficit disorder, chronic pain
“going to get a psych. eval.”); 712 (3/10/08, reports being “extremely irritable and ‘snappy’”; diagnosed with bipolar disorder);
710 (5/20/08, mood “described as stable”); 708 (6/23/08, “doing well” on Lamictal but “continues to have some mood lability as
well as some depressive symptoms”); 703 (10/23/08, increase in sleeplessness and irritability); and 701 (3/12/09, “doing fairly
well with regard to his bipolar . . . denies any new sleeplessness or irritability”).
10 – OPINION AND ORDER
disorder, or bi-polar disorder. Tr. 15. Since this severe mood disorder existed at the alleged
onset date of December 31, 2005, Rios takes issue with the ALJ’s paragraph C finding that his
“medical history fails to demonstrate that he has a chronic affective disorder of at least 2 years’
duration that has caused more than a minimal limitation in his ability to do basic work
activities.” Tr. 16. There are several difficulties with this position. First, the alleged onset date
is not medical evidence which can support a paragraph C finding. However, the ALJ does note a
mood disorder diagnosis dating back to the examination by M. John Givi, PhD, a clinical
psychologist, on December 14, 2006 (Tr. 528-35), well over two years prior to the decision date
of December 8, 2009. Tr. 17-18. The second difficulty lies in the specifics of Dr. Givi’s report.
Dr. Givi − whose opinion the ALJ gave considerable weight with regard to psychological issues−
found no reason that Rios was unable to work from a psychological standpoint. Tr. 18, 534.
Even assuming for the sake of argument that the ALJ erred by not continuing the
paragraph C analysis, the result does not change. The record reveals no evidence to meet the
requirements of paragraph (C)(1) or (C)(2), leaving only (C)(3) which requires a “[c]urrent
history of 1 or more years inability to function outside of a highly supportive living arrangement,
with an indication of continued need for such an arrangement.” 20 CFR Pt. 404, Subpt. P,
App. 1 § 12.04(C)(3). Rios has intermittently lived in a homeless shelter and, at the time of the
hearing, was living in government subsidized housing. Tr. 62, 88-89. He had to choose between
obtaining and undergoing treatment for his medical condition (thus being unable to work at his
sheltered job during that time, losing his income, not paying bills, and becoming homeless again)
or foregoing medical treatment and maintaining his sheltered job (thus being able to work,
earning income, paying bills and maintaining his subsidized housing). Tr. 62. Although this
situation is unfortunate, it does not indicate a continuing medical need for a highly supportive
11 – OPINION AND ORDER
living arrangement as contemplated under 20 CFR Pt. 404, Subpt. P, App. 1 § 12.04(C)(3).
Accordingly, to the extent the ALJ erred by continuing on to this portion of the paragraph C
analysis with respect to Listing 12.04, the error was harmless. See Barto v. Astrue, 2011 WL
5865951 *6 (D Or Nov. 22, 2011) (failure to properly evaluate evidence under Listing 12.04(C)
harmless where the record reveals that claimant did not meet its criteria).
Accordingly, the record reveals no basis to reverse the findings of the Commissioner.
ORDER
For the reasons discussed above, the Commissioner’s decision is AFFIRMED.
DATED May 15, 2012.
s/ Janice M. Stewart
Janice M. Stewart
United States Magistrate Judge
12 – OPINION AND ORDER
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