Loyd II v. Commissioner Social Security Administration
Filing
20
Opinion and Order: The Commissioner's final decision is affirmed. Ordered by Judge Michael J. McShane. (cp)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF OREGON
DAVID P. LOYD II,
Plaintiff,
v.
Civ. No. 3:13-cv-00753-MC
OPINION AND ORDER
CAROLYN W. COLVIN,
Acting Commissioner of the Social Security
Administration,
Defendant.
_____________________________
MCSHANE, Judge:
Plaintiff David Loyd II brings this action for judicial review of a final decision of the
Commissioner of Social Security denying his application for disability insurance benefits (DIB)
and supplemental security income payments (SSI) under Titles II and XVI of the Social Security
Act. This court has jurisdiction under 42 U.S.C. §§ 405(g) and 1383(c)(3). The issue before this
Court is whether the ALJ erred in forming and applying plaintiff’s RFC under step four and five
of the sequential evaluation, and whether the ALJ fully and fairly developed the record. Because
the ALJ properly formed and applied plaintiff’s RFC and the ALJ properly developed the record,
the Commissioner’s decision is AFFIRMED.
PROCEDURAL AND FACTUAL BACKGROUND
Plaintiff applied for DIB and SSI on November 25, 2009, alleging disability since
December 12, 2007 (later amended to February 15, 2008). Tr. 21, 80, 180. These claims were
denied initially on January 26, 2010, and upon reconsideration on April 9, 2010. Tr. 21. Plaintiff
1 – OPINION AND ORDER
timely requested a hearing before an administrative law judge (ALJ), and appeared before the
Honorable Steve Lynch on November 21, 2011. Tr. 21, 55–94. ALJ Lynch denied plaintiff’s
claims by written decision dated December 2, 2011. Tr. 21–32. Plaintiff sought review from the
Appeals Council, which was subsequently denied, thus rendering the ALJ’s decision final. Tr. 1–
3. Plaintiff now seeks judicial review.
Plaintiff, born on November 1, 1963, completed his freshman year of high school and has
worked most recently as an ice cream salesman (2007–2009) and cook (2003–2007, 2008). Tr.
31, 67, 198, 212–219. Plaintiff was forty-four at the time of alleged disability onset, tr. 31, 180,
and forty-eight at the time of his hearing, tr. 180. 1 Plaintiff alleges disability due to degenerative
disk disease, left wrist fusion, and osteoarthritis. 2 Tr. 23
STANDARD OF REVIEW
The reviewing court shall affirm the Commissioner’s decision if the decision is based on
proper legal standards and the legal findings are supported by substantial evidence on the record.
See 42 U.S.C. § 405(g); Batson v. Comm’r of Soc. Sec. Admin., 359 F.3d 1190, 1193 (9th Cir.
2004). To determine whether substantial evidence exists, this Court reviews the administrative
record as a whole, weighing both the evidence that supports and that which detracts from the
ALJ’s conclusion. Martinez v. Heckler, 807 F.2d 771, 772 (9th Cir. 1986).
DISCUSSION
The Social Security Administration utilizes a five step sequential evaluation to determine
whether a claimant is disabled. 20 C.F.R. §§ 404.1520, 416.920. The initial burden of proof rests
upon the claimant to meet the first four steps. If a claimant satisfies his or her burden with
1
Plaintiff is a “younger person” under the Social Security Act. 20 C.F.R. §§ 404.1563(c), 416.963.
Plaintiff cites additional limitations not listed as severe impairments by the ALJ, including: anxiety; Asperger’s
syndrome; back pain; depression; deviated septum; fatigue; insomnia; nausea; and sleep disturbance.. Pl.’s Br. 3–4,
6, 9, ECF No. 17.
2
2 – OPINION AND ORDER
respect to the first four steps, the burden shifts to the Commissioner for step five. 20 C.F.R. §
404.1520. At step five, the Commissioner’s burden is to demonstrate that the claimant is capable
of making an adjustment to other work after considering the claimant’s residual functional
capacity (RFC), age, education, and work experience. Id.
Plaintiff contends that the ALJ erred in forming and applying plaintiff’s RFC under step
four and five of the sequential evaluation. In particular, plaintiff argues: (1) the ALJ failed to
consider the effects of plaintiff’s sleep disturbance, insomnia, fatigue, and wrist immobility; and
(2) the ALJ failed to fully and fairly develop the record.
I. RFC Limitations
Plaintiff contends that the ALJ failed to consider plaintiff’s sleep disturbances caused by
his deviated septum, insomnia, and resulting fatigue. Pl.’s Br. 13–14, ECF No. 17. In addition to
these sleep-related impairments, plaintiff also alleges that the ALJ “failed to provide limitations
caused by [plaintiff’s] left wrist immobility.” Id. at 14.
Plaintiff, in specific reliance on his own subjective reporting to Wagner, FNP, asserts that
an “ear/nose/throat specialist strongly recommended surgical correction” for his deviated
septum. Id. at 13 (citing tr. 465). Plaintiff also generally relies on “physicians all routinely
describ[ing] [his] complaints of sleep disturbance.” Id. This Court, having reviewed the
evidentiary record, identified multiple subjective complaints relating to plaintiff’s sleep
disturbance and/or his deviated septum. See, e.g., tr. 289, 290, 292, 294, 297, 357, 364, 432, 451;
but see tr. 401, 453 (indicating plaintiff was “negative for fatigue”). However, the only objective
assertion of plaintiff’s fatigue identified by this Court is a questionnaire completed by Knight,
3 – OPINION AND ORDER
MD, in February 2011. Tr. 357. The ALJ found that this opinion “receives limited weight.” 3 As
discussed below, the ALJ provided clear and convincing reasons supported by substantial
evidence for partially rejecting Dr. Knight’s opinion. To the extent that plaintiff argues his own
subjective reports of fatigue were not incorporated into the RFC, the ALJ provided specific, clear
and convincing reasons for rejecting claimant’s testimony about the severity of his symptoms. As
discussed more thoroughly in § II, the ALJ identified malingering behavior, see supra note 14,
and noted that plaintiff’s activities (work and daily) were “inconsistent with [plaintiff’s]
allegations of disability.” Tr. 29; see also tr. 331, 345 (suggesting a less restrictive RFC). Thus,
the ALJ properly rejected Dr. Knight’s opinion and plaintiff’s own subjective testimony as it
related to his sleep related impairments.
Plaintiff also contends that ALJ erred in formulating the RFC limitations related to
plaintiff’s wrist impairment. See, e.g., Pl.’s reply Br. 1, ECF No. 19. Defendant, in response,
argues that the “ALJ properly accounted for [p]laintiff’s functional limitations.” Def. Br. 5, ECF
No. 18. This Court looks to the ALJ’s RFC formulation.
At step three,4 the ALJ found that plaintiff had the severe impairment “left wrist fusion.”
Tr. 23. The ALJ also noted:
3
The ALJ found:
Dr. Knight saw the claimant on one occasion and proffered an opinion that [was] not
supported by the objective medical evidence. More importantly, he appeared to base his
opinion solely on the claimant’s subjective pain complaints. The objective medical
evidence found in the longitudinal records does not support the level of limitation proposed
by Dr. Knight . . . .
Tr. 30; see also tr. 29 (“Notably, the claimant saw Dr. Knight one month after Dr. Peffley suspected the claimant of
merely attempting to accumulate evidence and denied his request for a handicap parking placard.”).
4
20 C.F.R. § 404.1520(a)(4)(iii) provides:
At the third step, we also consider the medical severity of your impairment(s). If you have
an impairment(s) that meets or equals one of our listings in appendix 1 of this subpart and
meets the duration requirement, we will find that you are disabled.
4 – OPINION AND ORDER
A review of the claimant’s earnings record show that he continued to post
income for several years after sustaining the wrist fracture. Clearly, the wrist
fracture did not prevent the claimant from working. Nevertheless, the
undersigned finds the claimant’s fused wrist to be a severe impairment.
Tr. 24 (citation omitted). At step four,5 the ALJ determined that plaintiff “can perform no more
than frequent fingering [and handling] 6 with his left, non-dominant hand.” Tr. 26.
Plaintiff asserts that these findings fail to incorporate plaintiff’s limited range of
“wrist/finger motion.” Pl. Br. 15, ECF No. 17. Plaintiff directs this Court’s attention to a
questionnaire completed by Dr. Knight in February 2011. See tr. 360. In that questionnaire, Dr.
Knight indicated that plaintiff had “no motion in wrist,” which affected plaintiff’s “Handling
(gross manipulation)” and “Fingering (fine manipulation).” Id. Dr. Knight’s check-list answers
were based upon a single contact with plaintiff in April 2010. Tr. 356.
In contrast, Peffley, DO, met with plaintiff eight different times. See tr. 290, 292, 294,
296, 403, 405, 419, 421. On March 16, 2010, Dr. Peffley indicated that plaintiff had: “limited
flexion/extension in left wrist. Intact distal strength and sensation in median, ulnar, and radial
distribution (although the latter is more difficult to assess given the lack of wrist flexibility).” Tr.
419. Dr. Peffley further elaborated that plaintiff declined recommended treatment 7 and requested
a handicap parking placard because “of the advice/direction he was given.” Tr. 420. On March
5
20 C.F.R. § 404.1520(a)(4)(iv) provides:
At the fourth step, we consider our assessment of your residual functional capacity and your
past relevant work. If you can still do your past relevant work, we will find that you are not
disabled.
(citations omitted).
6
The ALJ mistakenly omitted “and handling” from his RFC findings. However, during the administrative hearing,
the ALJ included “and handling” within his hypothetical question posed to the VE. See tr. 89. Thus, any omission in
the written decision constitutes a harmless error. See Molina v. Astrue, 674 F.3d 1104, 1115 (9th Cir. 2012) (noting
that “[w]e have . . . deemed errors harmless where the ALJ misstated the facts . . . but we were able to conclude
from the record that the ALJ would have reached the same result absent the error.” (citation omitted)).
7
“[Plaintiff] has not been to OT. He has no desire to go to OT (does not see the point in it because anything he does
hurts it). OT may be able to help develop muscles and improve functionality. Patient can always request a referral
should he decide it might be helpful. He has not seen an orthopedic surgeon since after the surgery in 2002.”
5 – OPINION AND ORDER
30, 2010, Dr. Peffley again met with plaintiff and plaintiff reported that “PT is helping a little,
they’re starting to stretch the tendons in [plaintiff’s] hand.” Tr. 421. However, “[m]ost of this
appointment was spent in antagonistic discussion.” Id. Following this appointment, Dr. Peffley
indicated that he was “not sure [he] would like to continue this relationship any further.” Tr. 422.
Dr. Knight, having met with plaintiff a single time, is not a treating physician. See, e.g.,
Benton ex rel. Benton v. Barnhart, 331 F.3d 1030, 1038 (9th Cir. 2003) (indicating that an
ongoing treatment relationship with a claimant is a key factor in determining whether a physician
is treating). “To reject his opinion, the ALJ had to give clear and convincing reasons.”
Reginnitter v. Comm’r of Soc. Sec. Admin., 166 F.3d 1294, 1298 (9th Cir. 1999) (citation
omitted). “Even if contradicted by another doctor, the opinion of an examining doctor can be
rejected only for specific and legitimate reasons that are supported by substantial evidence in the
record.” Id. (citation omitted). In according “limited weight” to Dr. Knight’s opinion, the ALJ
articulated clear and convincing (and specific and legitimate) reasons supported by substantial
evidence in the record.
First, the ALJ identified many of Dr. Peffley’s treatment notes. Dr. Peffley’s findings,
unlike Dr. Knight’s findings, did not suggest “no motion in wrist.” Dr. Peffley found that
plaintiff had “limited flexion/extension in left wrist.” Tr. 419; see also Morgan v. Comm’r of
Soc. Sec. Admin., 169 F.3d 595, 600 (9th Cir. 1999) (“The opinion of a treating physician is
given deference because he is employed to cure and has a greater opportunity to know and
observe the patient as an individual.” (citation and internal quotation marks omitted)). Second,
plaintiff continued to engage in work activities after sustaining his wrist fracture inconsistent
with “no motion” in wrist. See tr. 24; see also tr. 185 (indicating that plaintiff’s highest annual
earnings occurred in 2006). Third, plaintiff also continued to engage in daily activities
6 – OPINION AND ORDER
inconsistent with “no motion” in wrist. See supra § II (discussing plaintiff’s daily activities).
Fourth, the ALJ identified malingering behavior. Tr. 29 (“Notably, the claimant saw Dr. Knight
one month after Dr. Peffley suspected the claimant of merely attempting to accumulate evidence
and denied his request for a handicap parking placard.”); see also supra note 14. Fifth, the ALJ
expressed concern that Dr. Knight based “his opinion solely on the claimant’s subjective pain
complaints.” Tr. 30; see also Turner v. Comm’r of Soc. Sec., 613 F.3d 1217, 1222 (9th Cir. 2010)
(finding that an ALJ gave specific and legitimate reasons for partially rejecting a physician’s
opinion where the opinion was “based almost entirely on the claimant’s self-reporting.”). These
reasons are sufficient to reject Dr. Knight’s opinion to the extent that it is inconsistent with the
RFC.
Plaintiff appears to also suggest that Dr. Peffley’s findings in March 2010 are
inconsistent with the ALJ’s RFC formulation. Pl.’s Reply Br. 2, ECF No. 19. Although the ALJ
cites Dr. Peffley’s treatment notes from November 2009, see tr. 30 (citing tr. 294), the ALJ
clearly considered Dr. Peffley’s treatment notes from both March 2010 appointments, see tr. 27–
28. Plaintiff fails to articulate how “limited flexion/extension in left wrist” is not encompassed
within the RFC. Plaintiff was limited to light work, “lifting 20 pounds occasionally and 10
pounds frequently,8” and “no more than frequent fingering [and handling] with his left, nondominant hand.” Tr. 25–26; see also 20 C.F.R. § 404.1567(b) (defining light work). In contrast
to plaintiff’s suggestion, substantial evidence supports the RFC as formulated.
For example, in January 2010, Dr. Kehlri submitted a physical assessment and found that
plaintiff had not established any manipulative limitations (e.g., handling or fingering). Tr. 331;
8
“‘Frequent’ means occurring from one-third to two-thirds of the time.” SSR 83-10, 1983 WL 31251, at *6 (Jan. 1,
1983).
7 – OPINION AND ORDER
see also tr. 345 (Dr. Berner, in April 2010, affirmed Dr. Kehlri’s suggested RFC). The ALJ
explicitly adopted a RFC more restrictive than Dr. Kehlri’s assessment and accorded Dr. Kehlri’s
opinion “partial weight.” Tr. 29. In November 2011, Dr. Rullman, an impartial medical expert,
testified during the administrative hearing that he had reviewed Exhibits 1F through 15F
(including Dr. Knight’s more restrictive findings) and concluded that “the claimant [did not]
meet[] or equal[] any listing of the commissioner” under step three. Tr. 85; see also tr. 29
(identifying Dr. Rullman’s opinion as “further persuasive evidence”). These findings, in
combination with plaintiff’s work, see infra, and daily activities, see supra § II, represent
substantial evidence supporting the RFC.
II. Development of the Record
Plaintiff contends that the ALJ “improperly developed the record about plaintiff’s mental
health conditions,” Pl.’s Reply Br. 5–6, ECF No. 19, because mental health documentation
submitted the day of the hearing was not included in the evidentiary file considered by the ALJ,
Pl.’s Br. 12 n. 3, ECF No. 17; see also tr. 59 (indicating that plaintiff submitted “probably three
or [four] hundred pages of material”). In response, defendant contends that the ALJ did
incorporate this mental health documentation into the record (tr. 363–501) and, to the extent that
plaintiff was diagnosed with Asperger’s syndrome in mid-2011, that diagnosis constitutes new
evidence not previously submitted. Def.’s Br. 11–12, ECF No. 18. This Court, having reviewed
the record, finds that the ALJ did incorporate the documentation submitted the day of the
hearing. 9 The record includes no reference to Asperger’s syndrome. This Court’s remaining
9
Plaintiff’s former counsel submitted a cover letter in addition to a considerable number of medical records. Tr. 59;
see also tr. 489 (cover letter). Plaintiff’s cover letter identified eight additional sources of medical information. Tr.
489. That information is included in the evidentiary record as follows:
Good Days, Bad Days Mental and Physical dated 11/09/2011, tr. 490–501;
Polk County Mental Health dated 1/13/2011, tr. 424–33;
8 – OPINION AND ORDER
inquiry focuses on whether the submitted evidence triggered the ALJ’s duty to develop the
record.
“In Social Security cases the ALJ has a special duty to fully and fairly develop the record
and to assure that the claimant’s interests are considered.” Smolen v. Chater, 80 F.3d 1273, 1288
(9th Cir. 1996) (quoting Brown v. Heckler, 713 F.2d 441, 443 (9th Cir. 1983)) (internal quotation
marks omitted). “This duty exists even when the claimant is represented by counsel.” Id. (citing
Brown, 713 F.2d at 443). “Ambiguous evidence . . . triggers the ALJ’s duty to conduct an
appropriate inquiry.” Tonapetyan v. Halter, 242 F.3d 1144, 1150 (9th Cir. 2001) (citations and
internal quotation marks omitted). “The ALJ may discharge this duty in several ways, including:
subpoenaing the claimant’s physicians, submitting questions to the claimant’s physicians,
continuing the hearing, or keeping the record open after the hearing to allow supplementation of
the record.” Id. (citations omitted).
Plaintiff argues that his statements during the administrative hearing,10 combined with an
Adult Behavioral Health (ABH) Assessment conducted at Polk County Mental Health,11 tr. 424–
33, put the ALJ on notice that additional treatment records remained and the record needed to be
more fully developed. Pl.’s Reply Br. 6, ECF No. 19. This Court interprets plaintiff’s argument
Kaiser Health dated 12/17/2001-5/09/2002, tr. 363–98;
Oregon Family Health dated 02/23/2010-3/30/2010, tr. 403–23;
Flaming Medical Center dated 07/20/2007-07/09/2007, tr. 399–402;
West Valley Hospital ER record dated 10/27/2011, tr. 471–75;
Dr. Wilson dated 09/17/2007-10/31/2011, tr. 476–88; and
Northwest Human Services dated 09/16/11-03/02/201, tr. 434–70.
10
During the administrative hearing, plaintiff indicated that he had depression and that he had seen counselor Sue
Larsen and counselor Paul Morris with Polk County Mental Health. Tr. 62–63.
11
On January 18, 2011, Larsen, LPC, CADC I, diagnosed plaintiff with 311 Depressive Disorder Not Otherwise
Specified (NOS), but ruled out 296 Major Depressive Disorder. Tr. 433. A “311 Depressive Disorder NOS”
includes, but is not limited to “[s]ituations in which the clinician has concluded that a depressive disorder is present
but is unable to determine whether it is primary, due to a general medical condition, or substance induced.
Diagnostic and Statistical Manual of Mental Disorders 382 (rev. 4th ed. 2000).
9 – OPINION AND ORDER
in reply to defendant’s brief as alleging that the ALJ erred in his respective credibility
determinations of plaintiff’s symptom testimony and counselor Larsen’s ABH assessment. 12
As to plaintiff’s credibility, an ALJ must consider a claimant’s symptom testimony,
including statements regarding pain and workplace limitations. See 20 CFR §§ 404.1529,
416.929. “In deciding whether to accept [this testimony], an ALJ must perform two stages of
analysis: the Cotton analysis and an analysis of the credibility of the claimant’s testimony
regarding the severity of [his] symptoms.” Smolen, 80 F.3d at 1281. If a claimant meets the
Cotton analysis 13 and there is no evidence of malingering, “the ALJ can reject the claimant’s
testimony about the severity of [his] symptoms only by offering specific, clear and convincing
reasons for doing so.” Id. (citing Dodrill v. Shalala, 12 F.3d 915, 918 (9th Cir. 1993)).
The ALJ, in evaluating plaintiff’s alleged depressive disorder (among other symptoms
and complaints), found that “there is nothing to show that they are of such severity as to cause
more than minimal vocational limitations.” Tr. 24. First, the ALJ noted that on at least two
occasions plaintiff indicated he sought medical attention to bolster his case. 14 Tr. 24–25, 27; see
12
Neither the ALJ nor counselor Larsen (nor any other expert) found that “the evidence of [plaintiff’s] mental
impairment was ambiguous, or that [they] lacked sufficient evidence to render a decision.” Tonapetyan, 242 F.3d at
1150.
13
“The Cotton test imposes only two requires on the claimant: (1) she must produce objective medical evidence of
an impairment or impairments; and (2) she must show that the impairment or combination of impairments could
reasonably be expected to (not that it did in fact) produce some degree of symptom.” Smolen, 80 F.3d at 1282 (citing
Cotton v. Bowen, 799 F.2d 1403, 1407–408 (9th Cir. 1986)).
14
On March 16, 2010, Dr. Peffley noted:
Near the end of the visit, the patient remembered one last thing the lawyer recommended.
He stated that if he could get a handicap parking placard, “it would help my case.” He states
this would help him if he went to a “big store” and had to walk all the way to the back of
the parking lot with “a lot of stuff.” When I offered that he could push a cart instead of
carrying it, he stated, “There are still some times that it would be really helpful to have
that.”
.. .
At the end of the visit when I told him I was not inclined to sign a Handicap Parking Pass
for him, he stated, “If I promise not to use it, would that help you make up your mind?” I
told him that indeed it would. It confirms my decision to NOT sign one. I stated that he has
10 – OPINION AND ORDER
also Bunnell v. Sullivan, 947 F.2d 341, 347 (9th Cir. 1991) (“An adjudicator may use ordinary
techniques of credibility evaluation to test a claimant’s credibility.” (citation and internal
quotation marks omitted)). Second, the ALJ found that “[t]he claimant’s daily activities are
consistent with the [RFC].” Tr. 29. The ALJ specifically referred to an evaluation conducted by
Kruger, Psy.D., in January 2010 and found:
[Plaintiff] typically woke up at 7:00 AM, and then drove his girlfriend to her
job in Salem. Thereafter, he would return home, watch television, sit in his
recliner, and relax. He performed household chores when his back was not
“aggravated.” The chores included washing the dishes and laundry. He
picked his girlfriend up from work in the afternoon, and upon returning
home, they would have something to eat and watch television. He typically
went to bed between midnight and 1:00AM. The claimant also reported
being independent with self-care, meal preparation, and managing his
hygiene.
Tr. 29 (citing tr. 303–304); see also Morgan, 169 F.3d at 600 (finding that a claimant’s ability to
“fix meals, do laundry, work in the yard, and occasionally care for his friend’s child” evidenced
an ability to work). In contrast, during his administrative hearing, plaintiff testified that his daily
activities were more limited. See, e.g., tr. 65 (“I stay home pretty much all the time. The only
time I really get out of the house is if I have a counselor appointment or a doctor’s
appointment.”). The ALJ pointed out that this decline was not supported by medical evidence.
not needed one up to this point and is clearly asking for it now because of the
advise/direction he was given. He again stated, “Well it would really help out sometimes.” I
told him I’m sure it would, but I was reserving those Placards for patients who needed them
EVERY time.
Tr. 419–20. On January 18, 2011, counselor Larsen documented, in relevant part:
David is self-referred. He says part of the reason he is here is because he is applying for
Social Security and they have added depression into his other physical health concerns and
he says he needs to show that he is working on both of these issues.
Tr. 424.
11 – OPINION AND ORDER
Tr. 29. Third, in reliance on Dr. Kruger’s evaluation, Dr. Hennings’s psychiatric review,15 Dr.
Boyd’s mental summary,16 and shortcomings within counselor Larsen’s ABH Assessment, see
infra, the ALJ found “there is nothing to show that [plaintiff’s symptoms and complaints relating
to depression] are of such severity as to cause more than minimal vocational limitations,” tr. 24.
In reference to Dr. Kruger’s January 2010 evaluation, the ALJ found:
The claimant reported never having any psychiatric hospitalization.
However, he reported receiving some counseling in 2001, after the break-up
of a relationship. Upon examination, Dr. Kruger described the claimant as
cooperative, please mild mannered, in fair spirits. He appeared to sit
comfortably during the evaluation. He was an adequate historian. He was
fully oriented and showed a fair ability to sustain attention on brief, basic,
routine repetitive tasks. He repeated seven digits forward and four digits
backward. His immediate, recent past, and remote memories appeared to be
intact. He performed simply mathematic problems.
...
According to Dr. Kruger, the claimant neither demonstrated nor reported
any psychiatric symptoms reflective of either a psychotic or an anxiety
disorder.
Tr. 24 (citing 303–306). Overall, these reasons are specific, clear and convincing; sufficient to
reject claimant’s testimony about the severity of his symptoms.
As to counselor Larsen’s ABH assessment, the ALJ found “[b]ased on the totality of the
record . . . the counselor’s assessment [is not] persuasive evidence.” Tr. 25. Counselor Larsen, a
non-physician, diagnosed plaintiff with 311 Depressive Disorder NOS in January 2011. Tr. 433.
Dr. Kruger, in contrast, diagnosed plaintiff with “309.0 Adjustment disorder with depressed
mood.” Tr. 306; see also SSR 06-03P, 2006 WL 2329939, at *5 (Aug. 9, 2006) (“The fact that a
15
On January 20, 2010, Dr. Hennings, having reviewed Dr. Kruger’s evaluation, concluded that plaintiff’s
functional limitations included: (1) no restrictions of activities of daily living; (2) no difficulties in maintaining
social functioning; (3) mild difficulties in maintaining concentration, persistence or pace; and (4) no episodes of
decompensation, each of extended duration. Tr. 324. Dr. Hennings also indicated that plaintiff had “adjustment d/o
w/depressed mood” that was not severe. Tr. 314, 319.
16
On March 26, 2010, Dr. Boyd affirmed Dr. Henning’s RFC conclusions. Tr. 344.
12 – OPINION AND ORDER
medical opinion is from an ‘acceptable medical source’ is a factor that may justify giving that
opinion greater weight than an opinion from a medical source who is not an ‘acceptable medical
source’ because . . . ‘acceptable medical sources’ ‘are the most qualified health care
professionals.’”). Dr. Hennings, having reviewed Dr. Kruger’s evaluation, determined that
plaintiff’s only functional limitation was “mild” “difficulties in maintaining concentration,
persistence or pace.” Tr. 324; see also tr. 319 (diagnosing plaintiff with “adjustment disorder and
depressed mood”). Boyd subsequently reviewed and affirmed Dr. Hennings’s findings. Tr. 344.
The ALJ explicitly adopted Dr. Hennings’s assessment and noted that “Dr. Boyd’s summary is
further persuasive evidence.” Tr. 25. In addition to this medical evidence, the ALJ also
emphasized that plaintiff sought the ABH assessment “not for genuine treatment, but instead to
generate evidence for this appeal.” Tr. 25; see also supra note 14. Combined, these reasons are
sufficient to reject counselor Larsen’s ABH assessment.
In any event, plaintiff has not shown that his “mild” difficulties in maintaining
concentration, persistence or pace resulted in any functional limitations that the ALJ failed to
consider. See Burch v. Barnhart, 400 F.3d 676, 684 (9th Cir. 2005). “The ALJ presented all of
[plaintiff’s] limitations and restrictions supported by the record to the [VE].” Id.
CONCLUSION
For these reasons, the Commissioner’s final decision is AFFIRMED.
IT IS SO ORDERED.
DATED this 21st day of July, 2014.
________s/ Michael J. McShane___________
Michael J. McShane
United States District Judge
13 – OPINION AND ORDER
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