Garcia v. Colvin
Filing
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ORDER GRANTING DEFENDANT'S MOTION FOR SUMMARY JUDGMENT. Denying 17 Plaintiff's Motion for Summary Judgment; granting 19 Defendant's Motion for Summary Judgment. File CLOSED. Signed by Senior Judge Robert H. Whaley. (SK, Case Administrator)
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UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF WASHINGTON
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TAMARA LEE GARCIA,
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Plaintiff,
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v.
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NANCY A. BERRYHILL
(PREVIOUSLY CAROLYN W.
COLVIN), Acting Commissioner of
Social Security, 1
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Before the Court are the parties’ cross-motions for summary judgment, ECF
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ORDER GRANTING
DEFENDANT’S MOTION FOR
SUMMARY JUDGMENT
Defendant.
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No. 4:16-CV-05028-RHW
Nos. 17 & 19. Ms. Garcia brings this action seeking judicial review, pursuant to 42
U.S.C. § 405(g), of the Commissioner’s final decision, which denied her
application for Supplemental Security Income under Title XVI of the Social
Security Act, 42 U.S.C §1381-1383F. After reviewing the administrative record
and briefs filed by the parties, the Court is now fully informed. For the reasons set
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Nancy A. Berryhill became the Acting Commissioner of Social Security on January 20, 2017. Pursuant to Rule
25(d) of the Federal Rules of Civil Procedure, Nancy A. Berryhill is substituted for Carolyn W. Colvin as the
defendant in this suit. No further action need be taken to continue this suit. 42 U.S.C. § 405(g).
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
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forth below, the Court GRANTS Defendant’s Motion for Summary Judgment and
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DENIES Ms. Garcia’s Motion for Summary Judgment.
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I.
Jurisdiction
Ms. Garcia protectively filed for Supplemental Security Income on March 8,
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2012. AR 12, 138. Her initial alleged onset date was June 17, 1994, AR 12, 138,
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but at the hearing with the Administrative Law Judge she amended the alleged
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onset date to March 8, 2012, AR 12, 32, 214. Ms. Garcia’s application was initially
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denied on May 29, 2012, AR 90-93, and on reconsideration on September 19,
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2012, AR 97-100.
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A hearing with Administrative Law Judge (“ALJ”) Cecilia LaCara occurred
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on February 27, 2014. AR 26-58. On April 17, 2014, the ALJ issued a decision
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finding Ms. Garcia ineligible for disability benefits. AR 12-22. The Appeals
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Council denied Ms. Garcia’s request for review on January 20, 2016, AR 1-3,
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making the ALJ’s ruling the “final decision” of the Commissioner.
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Ms. Garcia timely filed the present action challenging the denial of benefits,
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on March 15, 2016. ECF No. 3. Accordingly, Ms. Garcia’s claims are properly
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before this Court pursuant to 42 U.S.C. § 405(g).
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II.
Sequential Evaluation Process
The Social Security Act defines disability as the “inability to engage in any
substantial gainful activity by reason of any medically determinable physical or
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mental impairment which can be expected to result in death or which has lasted or
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can be expected to last for a continuous period of not less than twelve months.” 42
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U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). A claimant shall be determined to be
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under a disability only if the claimant’s impairments are of such severity that the
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claimant is not only unable to do his previous work, but cannot, considering
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claimant's age, education, and work experience, engage in any other substantial
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gainful work that exists in the national economy. 42 U.S.C. §§ 423(d)(2)(A) &
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1382c(a)(3)(B).
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The Commissioner has established a five-step sequential evaluation process
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for determining whether a claimant is disabled within the meaning of the Social
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Security Act. 20 C.F.R. §§ 404.1520(a)(4) & 416.920(a)(4); Lounsburry v.
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Barnhart, 468 F.3d 1111, 1114 (9th Cir. 2006).
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Step one inquires whether the claimant is presently engaged in “substantial
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gainful activity.” 20 C.F.R. §§ 404.1520(b) & 416.920(b). Substantial gainful
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activity is defined as significant physical or mental activities done or usually done
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for profit. 20 C.F.R. §§ 404.1572 & 416.972. If the claimant is engaged in
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substantial activity, he or she is not entitled to disability benefits. 20 C.F.R. §§
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404.1571 & 416.920(b). If not, the ALJ proceeds to step two.
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Step two asks whether the claimant has a severe impairment, or combination
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of impairments, that significantly limits the claimant’s physical or mental ability to
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do basic work activities. 20 C.F.R. §§ 404.1520(c) & 416.920(c). A severe
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impairment is one that has lasted or is expected to last for at least twelve months,
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and must be proven by objective medical evidence. 20 C.F.R. §§ 404.1508-09 &
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416.908-09. If the claimant does not have a severe impairment, or combination of
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impairments, the disability claim is denied, and no further evaluative steps are
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required. Otherwise, the evaluation proceeds to the third step.
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Step three involves a determination of whether any of the claimant’s severe
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impairments “meets or equals” one of the listed impairments acknowledged by the
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Commissioner to be sufficiently severe as to preclude substantial gainful activity.
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20 C.F.R. §§ 404.1520(d), 404.1525, 404.1526 & 416.920(d), 416.925, 416.926;
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20 C.F.R. § 404 Subpt. P. App. 1 (“the Listings”). If the impairment meets or
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equals one of the listed impairments, the claimant is per se disabled and qualifies
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for benefits. Id. If the claimant is not per se disabled, the evaluation proceeds to the
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fourth step.
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Step four examines whether the claimant’s residual functional capacity
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enables the claimant to perform past relevant work. 20 C.F.R. §§ 404.1520(e)-(f) &
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416.920(e)-(f). If the claimant can still perform past relevant work, the claimant is
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not entitled to disability benefits and the inquiry ends. Id.
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Step five shifts the burden to the Commissioner to prove that the claimant is
able to perform other work in the national economy, taking into account the
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claimant’s age, education, and work experience. See 20 C.F.R. §§ 404.1512(f),
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404.1520(g), 404.1560(c) & 416.912(f), 416.920(g), 416.960(c). To meet this
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burden, the Commissioner must establish that (1) the claimant is capable of
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performing other work; and (2) such work exists in “significant numbers in the
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national economy.” 20 C.F.R. §§ 404.1560(c)(2); 416.960(c)(2); Beltran v. Astrue,
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676 F.3d 1203, 1206 (9th Cir. 2012).
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III.
Standard of Review
A district court's review of a final decision of the Commissioner is governed
by 42 U.S.C. § 405(g). The scope of review under § 405(g) is limited, and the
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Commissioner's decision will be disturbed “only if it is not supported by
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substantial evidence or is based on legal error.” Hill v. Astrue, 698 F.3d 1144,
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1158-59 (9th Cir. 2012) (citing § 405(g)). Substantial evidence means “more than a
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mere scintilla but less than a preponderance; it is such relevant evidence as a
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reasonable mind might accept as adequate to support a conclusion.” Sandgathe v.
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Chater, 108 F.3d 978, 980 (9th Cir.1997) (quoting Andrews v. Shalala, 53 F.3d
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1035, 1039 (9th Cir. 1995)) (internal quotation marks omitted). In determining
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whether the Commissioner’s findings are supported by substantial evidence, “a
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reviewing court must consider the entire record as a whole and may not affirm
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simply by isolating a specific quantum of supporting evidence.” Robbins v. Soc.
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Sec. Admin., 466 F.3d 880, 882 (9th Cir. 2006) (quoting Hammock v. Bowen, 879
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F.2d 498, 501 (9th Cir. 1989)).
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In reviewing a denial of benefits, a district court may not substitute its
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judgment for that of the ALJ. Matney v. Sullivan, 981 F.2d 1016, 1019 (9th Cir.
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1992). If the evidence in the record “is susceptible to more than one rational
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interpretation, [the court] must uphold the ALJ's findings if they are supported by
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inferences reasonably drawn from the record.” Molina v. Astrue, 674 F.3d 1104,
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1111 (9th Cir. 2012); see also Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir.
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2002) (if the “evidence is susceptible to more than one rational interpretation, one
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of which supports the ALJ’s decision, the conclusion must be upheld”). Moreover,
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a district court “may not reverse an ALJ's decision on account of an error that is
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harmless.” Molina, 674 F.3d at 1111. An error is harmless “where it is
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inconsequential to the [ALJ's] ultimate nondisability determination.” Id. at 1115.
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The burden of showing that an error is harmful generally falls upon the party
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appealing the ALJ's decision. Shinseki v. Sanders, 556 U.S. 396, 409–10 (2009).
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IV.
Statement of Facts
The facts of the case are set forth in detail in the transcript of proceedings,
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and only briefly summarized here. Ms. Garcia was 35 years old at the alleged date
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of onset. AR 21, 138, 152. She attended high school through the eighth (AR 156,
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238, 267) or ninth grade (AR 79, 230, 275). Ms. Garcia is able to communicate in
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English. AR 21, 154. The ALJ found Ms. Garcia to suffer from depression, post-
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traumatic stress disorder, panic disorder, and polysubstance abuse. AR 14. Ms.
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Garcia previously worked as a waitress and housekeeper. AR 76, 156, 162, 194.
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She has a history of drug use including, crack cocaine, ecstasy, LSD, mushrooms,
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hash, methamphetamine, and marijuana. AR 19, 35-37, 224, 230, 237-38, 274,
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298, 310.
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V.
The ALJ’s Findings
The ALJ determined that Ms. Garcia was not under a disability within the
meaning of the Act from March 8, 2012, her alleged date of onset. AR 22.
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At step one, the ALJ found that Ms. Garcia had not engaged in substantial
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gainful activity since March 8, 2012 (citing 20 C.F.R. § 416.971 et seq.). AR 14.
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At step two, the ALJ found Ms. Garcia had the following severe
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impairments: depression, post-traumatic stress disorder (PTSD), panic disorder,
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and polysubstance abuse present and not material (citing 20 C.F.R. § 416.920(c)).
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AR 14.
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At step three, the ALJ found that Ms. Garcia did not have an impairment or
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combination of impairments that meets or medically equals the severity of one of
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the listed impairments in 20 C.F.R. § 404, Subpt. P, App. 1. AR 15-16.
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At step four, the ALJ found Ms. Garcia had the residual functional capacity
to perform a full range of work at all exertional levels but with the following non-
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exertional limitations: work is limited to 1 to 3 step tasks; and she can work in a
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low stress job defined as having only occasional decision making required and
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changes in the work setting, with only occasional interaction with the public, co-
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workers, and supervisors. AR 16-21.
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The ALJ determined that Ms. Garcia has no past relevant work. AR 21.
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At step five, the ALJ found that, in light of her age, education, work
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experience, and residual functional capacity, there are jobs that exist in significant
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numbers in the national economy that she can perform. AR 21-22.
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VI.
Issues for Review
Ms. Garcia argues that the Commissioner’s decision is not free of legal error
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and not supported by substantial evidence. Specifically, she argues the ALJ erred
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by: (1) improperly discrediting Ms. Garcia’s subjective complaint testimony; (2)
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improperly weighing the medical opinion evidence; and (3) failing to identify jobs,
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available in significant numbers, that Ms. Garcia could perform despite her
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functional limitations.
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VII. Discussion
A. The ALJ Properly Discounted Ms. Garcia’s Credibility.
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An ALJ engages in a two-step analysis to determine whether a claimant’s
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testimony regarding subjective symptoms is credible. Tommasetti v. Astrue, 533
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F.3d 1035, 1039 (9th Cir. 2008). First, the claimant must produce objective
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medical evidence of an underlying impairment or impairments that could
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reasonably be expected to produce some degree of the symptoms alleged. Id.
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Second, if the claimant meets this threshold, and there is no affirmative evidence
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suggesting malingering, “the ALJ can reject the claimant’s testimony about the
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severity of [her] symptoms only by offering specific, clear, and convincing reasons
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for doing so.” Id.
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In weighing a claimant's credibility, the ALJ may consider many factors,
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including, “(1) ordinary techniques of credibility evaluation, such as the claimant's
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reputation for lying, prior inconsistent statements concerning the symptoms, and
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other testimony by the claimant that appears less than candid; (2) unexplained or
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inadequately explained failure to seek treatment or to follow a prescribed course of
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treatment; and (3) the claimant's daily activities.” Smolen, 80 F.3d at 1284. When
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evidence reasonably supports either confirming or reversing the ALJ's decision, the
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Court may not substitute its judgment for that of the ALJ. Tackett v. Apfel, 180
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F.3d 1094, 1098 (9th Cir.1999). Here, the ALJ found that the medically
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determinable impairments could reasonably be expected to produce the symptoms
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Ms. Garcia alleges; however, the ALJ determined that Ms. Garcia’s statements
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regarding intensity, persistence, and limiting effects of the symptoms were not
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entirely credible. AR 17.
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a. Ms. Garcia’s daily activities.
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The ALJ noted several activities of daily living that are inconsistent with
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Ms. Garcia’s allegations. Activities transferable to a work setting are a proper
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ground for questioning the credibility of an individual’s subjective allegations. See
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Molina, 674 F.3d at 1113 (“[e]ven where those activities suggest some difficulty
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functioning, they may be grounds for discrediting the claimant’s testimony to the
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extent that they contradict claims of a totally debilitating impairment”).
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Ms. Garcia testified that she cannot be around others. AR 38, 170. However,
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the ALJ noted several inconsistencies with the alleged severity of her disability. In
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particular, the ALJ noted: Ms. Garcia has two friends she sees occasionally (AR
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18, 275); she makes herself go out, and attends some of her children’s sport
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activities (AR 18, 235, 275); she attends drug recovery meetings, drug dependency
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meetings, and church on Sundays and Tuesdays (AR 18, 47, 230, 235, 275); she
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attended a barbeque at a friend’s house (AR 18, 275); and she is able to use public
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transportation (AR 18, 273). The ALJ also noted her doctor’s records show that she
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was cooperative, made good eye contact, and had an appropriate affect. AR 17,
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233-35, 238, 269-70, 276, 308-09.
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Additionally, Ms. Garcia testified that she has disabling difficulty
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maintaining attention and focus. AR 34-35, 38-39, 175. In contrast, the ALJ noted
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that Ms. Garcia watches television and uses Facebook (AR 18, 275); she does
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simple chores like laundry, sweeping, and vacuuming (AR 18, 274-75, 329); she
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cared for her ailing aunt (AR 18, 48-49); and she was able to complete four hours
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of mental testing with only one break (AR 16, 277).
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The ALJ also found that the record demonstrated Ms. Garcia’s impairments
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would not prevent her from working because the record shows she did work during
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the relevant period. AR 18. The ALJ noted that Ms. Garcia had worked for a friend
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a few hours a week to earn money and was trying to find a job, and that she may
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have done work for which she was paid in cash. AR 19, 314.
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These activities reflect a level of functioning that is inconsistent with Ms.
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Garcia’s claims of disability. The Court does not find the ALJ erred when
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assessing Ms. Garcia’s credibility because her activities of daily living are
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inconsistent with her alleged severity of her impairments.
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b. Inconsistent statements and less than sincere efforts.
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While the ALJ did not directly state that Ms. Garcia was malingering, the
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ALJ does include references to the record that indicate Ms. Garcia was not putting
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forth her best effort. AR 18. Specifically the ALJ noted that Ms. Garcia did not put
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forth maximum effort and was not fully cooperating during her
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psychological/psychiatric testing which resulted in an invalid profile; Ms. Garcia
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did not put forth her best effort during her Wechsler Adult Intelligence Scale
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Fourth Edition testing and provided results of limited validity; and her evaluator
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stated that her test scores should be interpreted cautiously because of her poor
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interest in doing well on tasks, and possibly because of recent involvement with
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substances. AR 18, 282, 328. Thomas v. Barnhart, 278 F.3d 947, 959 (9th Cir.
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2002) (“efforts to impede accurate testing of [] limitations supports the ALJ’s
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determinations as to her lack of credibility”).
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The ALJ also found that Ms. Garcia gave inconsistent statements about
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taking her prescribed medication. AR 18. The ALJ noted Ms. Garcia told her case
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manager, Jacob Spanjer, that she was consistently taking her medications but later
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reported she frequently forgot to take them (AR 312), she stopped taking all of her
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medications because she didn’t believe they were working (AR 310), and she
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allowed herself to run out of her medications (AR 309).
Thus, the ALJ did not err when assessing Ms. Garcia’s credibility because
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the ALJ properly found she failed to put forth her best effort and she had provided
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inconsistent statements.
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c. Failure to treat.
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In consideration of Ms. Garcia’s credibility, the ALJ noted that she has
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failed to comply with her treatment. AR 17-19. A claimant’s statements may be
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less credible when treatment is inconsistent with the level of complaints or a
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claimant is not following treatment prescribed without good reason. Molina, 674
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F.3d at 1114. When refusing prescribed treatment, the reasons presented for not
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following the treatment must be related to the mental impairment and not a matter
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of personal preference. Id. “Unexplained, or inadequately explained, failure to seek
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treatment . . . can cast doubt on the sincerity of [a] claimant’s pain testimony.” Fair
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v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989).
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The ALJ points out that Ms. Garcia has a history of missing appointments
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and failing to follow through with recommended treatment. AR 17. In particular,
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the ALJ notes that Ms. Garcia missed multiple appointments with her treating
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provider, Dr. Zimmerman. AR 17, 309, 315, 325-26. Ms. Garcia thought her
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therapy did not help, but Dr. Zimmerman noted that she had not really engaged.
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AR 17, 310. She had been through chemical dependency but did not complete most
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programs, and she was interested in working with the Division of Vocational
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Rehabilitation but did not attend the orientation. AR 17-18, 318, 328, 274-75.
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Furthermore, the ALJ cited the treatment record, noting that Ms. Garcia was
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not compliant with taking her medications, and the prescriptions were effective in
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managing her symptoms when taken. AR 17-18. The record cited by the ALJ
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directs: Ms. Garcia was started back on medication, she did not return for follow
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up, she ran out, and she started buying medication off the street (AR 309); “the
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patient stated she stopped all of the medications because she did not believe it was
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helping” (AR 310); Ms. Garcia is encouraged to resume taking her medications
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(AR 317); “she was encouraged to comply with treatment, which has been an issue
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all along for her” (AR 309); “reports taking medication as prescribed and that a
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recent medication change is helping with her mood” (AR 313); Ms. Garcia’s
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“symptoms have decreased…she is taking medications” (AR 324).
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The overall record demonstrates that Ms. Garcia has significant unexplained
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gaps in treatment and she did not follow the prescribed treatment, thus the ALJ did
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not err in assessing her credibility.
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B. The ALJ Properly Weighed the Medical Opinion Evidence.
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1. Legal Standard.
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The Ninth Circuit has distinguished between three classes of medical
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providers in defining the weight to be given to their opinions: (1) treating
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providers, those who actually treat the claimant; (2) examining providers, those
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who examine but do not treat the claimant; and (3) non-examining providers, those
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who neither treat nor examine the claimant. Lester v. Chater, 81 F.3d 821, 830 (9th
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Cir. 1996) (as amended).
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A treating provider’s opinion is given the most weight, followed by an
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examining provider, and finally a non-examining provider. Id. at 830-31. In the
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absence of a contrary opinion, a treating or examining provider’s opinion may not
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be rejected unless “clear and convincing” reasons are provided. Id. at 830. If a
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treating or examining provider’s opinion is contradicted, it may only be discounted
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for “specific and legitimate reasons that are supported by substantial evidence in
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the record.” Id. at 830-31.
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The ALJ may meet the specific and legitimate standard by “setting out a
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detailed and thorough summary of the facts and conflicting clinical evidence,
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stating his interpretation thereof, and making findings.” Magallanes v. Bowen, 881
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F.2d 747, 751 (9th Cir. 1989) (internal citation omitted). When rejecting a treating
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provider’s opinion on a psychological impairment, the ALJ must offer more than
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his or her own conclusions and explain why he or she, as opposed to the provider,
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is correct. Embrey v. Bowen, 849 F.2d 418, 421-22 (9th Cir. 1988).
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2. Dr. Gollogly.
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Dr. Vincent Gollogly, PhD, was a reviewing doctor who completed a mental
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residual functional capacity assessment on September 18, 2012. AR 82-86. Dr.
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Gollogly determined that Ms. Garcia did have functional limitations but that these
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limitations did not render her disabled. Id. The ALJ afforded great weight to Dr.
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Gollogly’s opinion because it is consistent with mental status testing, and accounts
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for Ms. Garcia’s social limitations. AR 19. Ms. Garcia contends the ALJ erred by
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not noting or mentioning that Dr. Gollogly offered moderate limitations in various
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categories and by affording the opinion great weight.
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The mental residual functional capacity assessment completed by Dr.
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Gollogly contains various questions in multiple categories to assist in determining
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a claimant’s ability to perform work activities, followed by “the actual mental
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residual functional capacity assessment… recorded in the narrative discussion(s) in
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the explanation text boxes.” AR 82. Notably, agency policy directs that it is the
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narrative portion written by the doctor that the adjudicators are to use in the
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assessment of the RFC. Program Operations Manual System (POMS) DI
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25020.010(B)(1); Warre v. Comm'r of Soc. Sec. Admin., 439 F.3d 1001, 1005 (9th
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Cir. 2006) (“The POMS does not have the force of law, but it is persuasive
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authority.”). The ALJ did not reject any portion of Dr. Gollogly’s report and
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assessment and properly relied on the narrative portion in determining Ms.
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Garcia’s RFC. See Rounds v. Comm'r Soc. Sec. Admin., 807 F.3d 996, 1005 (9th
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Cir. 2015).
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Ms. Garcia appears to argue the ALJ erred by affording great weight to the
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opinion of Dr. Gollogly. However, Dr. Gollogly provided his opinion after
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assessing the medical evidence available, listing Ms. Garcia’s limitations, and
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providing his medical opinion of her conditions. AR 82-86. It is the ALJ’s duty to
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explain why “significant probative evidence has been rejected,” rather than explain
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why it was not. Vincent on Behalf of Vincent v. Heckler, 739 F.2d 1393, 1394–95
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(9th Cir. 1984). When the ALJ presents a reasonable interpretation that is
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supported by substantial evidence, it is not the role of the courts to second-guess it.
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Rollins v. Massanari, 261 F.3d 853, 857 (9th Cir. 2001). The Court “must uphold
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the ALJ's findings if they are supported by inferences reasonably drawn from the
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record.” Molina v. Astrue, 674 F.3d 1104, 1111 (9th Cir. 2012); see also Thomas v.
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Barnhart, 278 F.3d 947, 954 (9th Cir. 2002) (if the “evidence is susceptible to more
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than one rational interpretation, one of which supports the ALJ’s decision, the
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conclusion must be upheld”).
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The Court finds that the ALJ did not err in her assessment of Dr. Gollogly’s
opinion and in affording the opinion great weight.
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3. Dr. Cooper.
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Dr. Cecilia Cooper, PhD, was an examining doctor that completed a
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psychological evaluation on September 5, 2012. AR 273-84. Dr. Cooper concluded
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that Ms. Garcia’s test scores should be interpreted cautiously because of her poor
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interest in doing well on tasks and possibly because of recent involvement with
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substances, but that without the influence of both factors, a cognitive disorder
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would still be evident, just not to the extreme extent currently reflected. AR 282.
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She completed a medical source statement, opining that Ms. Garcia could perform
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tasks involving two- or three-step tasks at a slow pace and that she would have
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problems with supervisors and co-workers AR 19, 283. This portion of the opinion
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was afforded great weight. Dr. Cooper also opined in the medical source statement,
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that Ms. Garcia would have significant difficulty completing more complex
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instructions; she would do tasks slowly; she would have significant problems with
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change and with maintaining attention and concentration for extended periods of
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time; she would not be reliable in responding to normal hazards; and she would
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require close supervision to ensure she completes tasks as instructed. AR 19-220,
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283. This portion of the opinion is contradicted by Dr. Gollogly, and was afforded
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little to no weight by the ALJ. AR 19-20, 79-84.
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The ALJ states that portion of the opinion is given great weight because it is
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consistent with Ms. Garcia’s contemporaneous mental status testing as well as the
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longitudinal record, while the remaining portion of the opinion is not. AR 20. In
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addition, the ALJ noted that Ms. Garcia was able to maintain significantly better
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attention and concentration than Dr. Cooper alleged. Id. Ms. Garcia was able to
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complete testing that lasted four hours with only one break. AR 20, 277. A
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discrepancy between a doctor’s recorded observations and opinions is a clear and
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convincing reason for not relying on the doctor’s opinion. Bayliss v. Barnhart, 427
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F.3d 1211, 1216 (9th Cir. 2005). Furthermore, in assigning little to no weight to a
13
portion of Dr. Cooper’s opinion, the ALJ noted that contrary to part of Dr.
14
Cooper’s opinion, Ms. Garcia is not as severely limited as opined and is able to
15
complete simple tasks. AR 20. Demonstrated by Ms. Garcia’s ability in her daily
16
living to complete tasks such as household chores and prepare meals. Id. The ALJ
17
has also noted that Ms. Garcia tends to her personal hygiene and grooming without
18
assistance, she does her own laundry, and she recently worked for a friend a few
19
hours a week to earn money and was trying to find a job. AR 16, 18, 275-76, 314.
20
An ALJ may properly reject an opinion that provides restrictions that appear
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 18
1
inconsistent with the claimant’s level of activity. Rollins v. Massanari, 261 F.3d
2
853, 856 (9th Cir. 2001).
3
In assigning little to no weight to a portion of Dr. Cooper’s opinion, the ALJ
4
supported the determination with specific and legitimate reasons supported by
5
substantial evidence in the record. Thus, the ALJ did not err in her consideration of
6
Dr. Cooper’s opinion.
7
4. Dr. Moon.
8
Dr. Tae-Im Moon, PhD, was an examining doctor that completed a
9
psychological evaluation for the Washington State Department of Social and
10
Health Services in February 2012. AR 229-32. Following the clinical interview,
11
Dr. Moon opined that Ms. Garcia’s ability to work with the public and co-workers
12
and to remember and sustain focus was poor, and that Ms. Garcia would likely
13
have significant difficulty in completing tasks. AR 20, 230.
14
The ALJ afforded the opinion of Dr. Moon little to no weight. AR 20. Ms.
15
Garcia does not state why or how she believes the ALJ erred in assigning little to
16
no weight to the opinion of Dr. Moon, but states that this was an error. The ALJ
17
noted that Dr. Moon’s opinion is inconsistent with the record, and that Ms. Garcia,
18
in fact, is able to be around others as evidenced by her attendance in chemical
19
treatment groups and at church. AR 18, 20, 47, 230, 235, 275. Furthermore, the
20
ALJ again noted that Ms. Garcia is actually able to complete tasks as evidenced by
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 19
1
her recent and current level of activity, including her ability to complete household
2
chores, prepare meals, tend to her personal hygiene and grooming without
3
assistance, do her laundry, and work for a friend a few hours a week to earn money
4
and was trying to find a job. AR 16, 18, 20, 274-75, 314, 329. As previously stated,
5
an ALJ may properly reject an opinion that provides restrictions that appear
6
inconsistent with the claimant’s level of activity. Rollins, 261 F.3d at 856.
7
The opinion of Dr. Moon is contradicted by Dr. Gollogly. AR 77-84. In
8
assigning little to no weight to Dr. Moon’s opinion, the ALJ supported the
9
determination with specific and legitimate reasons supported by substantial
10
evidence in the record. Thus, the ALJ did not err in her consideration of Dr.
11
Moon’s opinion.
12
5. Dr. Zimmerman.
13
Dr. Laurie Zimmerman, MD, was Ms. Garcia’s treating doctor. AR 311-15.
14
Dr. Zimmerman treated Ms. Garcia five times before the alleged onset date, once
15
in 2012, three times in 2013, and completed mental medical source statement in
16
2014. AR 233-38, 308-11, 319-22. In her mental medical source statement,
17
consisting primarily of a checkbox form, Dr. Zimmerman briefly opined that Ms.
18
Garcia had difficulty regulating her mood and affect, she was impulsive and easily
19
angered, she had difficulty following a routine, she did not tolerate being around
20
other people and could be aggressive. AR 20, 321.
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 20
1
Dr. Zimmerman’s opinion was afforded little to no weight by the ALJ. AR
2
20. The social limitations given by Dr. Zimmerman were accounted for by the ALJ
3
in limiting Ms. Garcia to occasional contact with others. AR 16-17, 20. Ms. Garcia
4
takes issue with the weight the ALJ afforded the opinions of Dr. Zimmerman, but
5
Ms. Garcia fails to explain why or how the ALJ erred. Nevertheless, this analysis
6
continues. The ALJ gave two proper reasons for discounting Dr. Zimmerman’s
7
opinion.
8
First, the ALJ discounted Dr. Zimmerman’s opinion because it appears the
9
opinion is quite heavily based on Ms. Garcia’s self-reported symptoms, which the
10
ALJ properly determined were not credible. AR 17-20. An ALJ may discount a
11
treating provider’s opinion if it is based largely on the claimant’s self-reports and
12
not on clinical evidence, and the ALJ finds the claimant not credible. Ghanim v.
13
Colvin, 763 F.3d 1154, 1162 (9th Cir. 2014). Indeed, Dr. Zimmerman’s treatment
14
records of Ms. Garcia are almost entirely based on Ms. Garcia’s subjective
15
complaints and reports. AR 233-38, 308-11. In fact, Dr. Zimmerman’s objective
16
examination notes largely detail that Ms. Garcia is far better than the severe
17
limitations Dr. Zimmerman assessed. Specifically, Dr. Zimmerman repeatedly
18
notes that Ms. Garcia makes good eye contact, her affect is appropriate, her mood
19
is only somewhat depressed and anxious, there is no evidence of psychosis, her
20
insight and judgment are fair, and there is no evidence of abnormal movements.
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 21
1
AR 233-36, 308-11. It was also noted by Dr. Zimmerman that Ms. Garcia appears
2
to be of average intelligence, her speech was mildly pressured but otherwise
3
normal and goal directed, her recent and remote memories were grossly intact, and
4
she was oriented to person, place, time and circumstance. AR 238. “[A]n ALJ need
5
not accept the opinion of a doctor if that opinion is brief, conclusory, and
6
inadequately supported by clinical findings.” Bayliss, 427 F.3d at 1216.
7
Additionally, a discrepancy between a doctor’s recorded observations and opinions
8
is a clear and convincing reason for not relying on the doctor’s opinion. Id.
9
Second, the ALJ noted that Ms. Garcia is not as limited as Dr. Zimmerman
10
asserts. The record indicates that Ms. Garcia is able to be around others, evidenced
11
by the fact that she is able to shop, use public transportation, and regularly attends
12
church and support groups. AR 20, 47, 230, 273. An ALJ may properly reject an
13
opinion that provides restrictions that appear inconsistent with the claimant’s level
14
of activity. Rollins, 261 F.3d at 856.
15
The opinion of Dr. Zimmerman is contradicted by non-examining doctor,
16
Dr. Gollogly. AR 79-84. Additionally, the ALJ explained that Dr. Zimmerman’s
17
opinion was based on Ms. Garcia’s subjective statements and minimal objective
18
evidence. AR 20. In assigning little to no weight to Dr. Zimmerman’s opinion, the
19
ALJ supported the determination with specific and legitimate reasons supported by
20
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 22
1
substantial evidence in the record. Thus, the ALJ did not err in her consideration of
2
Dr. Zimmerman’s opinion.
3
6. Dr. Marks.
4
Dr. Nora Marks, PhD, was an examining doctor that completed a
5
psychological evaluation for the Washington State Department of Social and
6
Health Services in February 2014. AR 328-33. Dr. Marks opined that Ms. Garcia
7
would likely be an unreliable and difficult employee at this point, but with a period
8
of psychotherapy, medication, and continued abstinence from drug use, she may be
9
able to work in a year or two. AR 20, 330. Dr. Marks also opined that Ms. Garcia
10
would have severe limitations in several areas, including her ability to maintain
11
appropriate behavior in a work setting. AR 20, 331.
12
While the ALJ did not completely discount Dr. Marks’ opinion, it was
13
afforded little weight. AR 20. Again, Ms. Garcia takes issue with the weight the
14
ALJ afforded the doctor’s opinions, but fails to explain why or how the ALJ erred.
15
Nevertheless, this analysis continues.
16
In discounting the opinion of Dr. Marks, the ALJ notes that the record
17
indicates that the claimant’s symptoms improve and stabilize with medication, and
18
the severe limitations assessed by Dr. Marks are unsupported by the record as a
19
whole. AR 20. The treatment record supports the ALJ determination and shows
20
that Ms. Garcia failed to comply with prescribed medication, and that when she
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 23
1
did, her prescribed treatment was effective in managing her symptoms. AR 18, 20.
2
For example, the record demonstrates: Ms. Garcia was started back on medication,
3
she did not return for follow up, she ran out, and she started buying medication off
4
the street (AR 309); “the patient stated she stopped all of the medications because
5
she did not believe it was helping” (AR 310); “[Ms. Garcia] also does not think
6
that therapy helped, but she did not really engage” (AR 310); Ms. Garcia “reports
7
taking medication as prescribed and that a recent medication change is helping
8
with her mood” (AR 313); Ms. Garcia is encouraged to resume taking her
9
medications (AR 317); Ms. Garcia’s “symptoms have decreased…she is taking
10
medications” (AR 324). The treatment records contrast directly with Dr. Marks’
11
evaluation findings.
12
The opinion of Dr. Marks is contradicted by Dr. Gollogly. AR 79-84. In
13
assigning little weight to Dr. Marks’ opinion, the ALJ supported the determination
14
with specific and legitimate reasons supported by substantial evidence in the
15
record. Thus, the Court finds that the ALJ did not err in her consideration of Dr.
16
Marks’ opinion.
17
C. The ALJ Properly Identified Jobs Ms. Garcia Could Perform and Did
18
Not Err in Her Step Five Analysis.
19
Step five shifts the burden to the Commissioner to prove that the claimant is
20
able to perform other work available in significant numbers in the national
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 24
1
economy, taking into account the claimant’s age, education, and work experience.
2
See 20 C.F.R. §§ 404.1512(f), 404.1520(g), 404.1560(c) & 416.912(f), 416.920(g),
3
416.960(c). To meet this burden, the Commissioner must establish that (1) the
4
claimant is capable of performing other work; and (2) such work exists in
5
“significant numbers in the national economy.” 20 C.F.R. §§ 404.1560(c)(2);
6
416.960(c)(2); Beltran v. Astrue, 676 F.3d 1203, 1206 (9th Cir. 2012). If the
7
limitations are non-exertional and not covered by the grids, a vocational expert is
8
required to identify jobs that match the abilities of the claimant, given [his]
9
limitations.” Johnson v. Shalala, 60 F.3d 1428, 1432 (9th Cir. 1995).
10
Ms. Garcia contends that the ALJ failed to identify jobs, available in
11
significant numbers that Ms. Garcia could perform despite her functional
12
limitations. Specifically, Ms. Garcia briefly states that the hypothetical provided to
13
the vocational expert is incomplete because it fails to take into account additional
14
limitations suggested by Dr. Zimmerman and other psychologists; however, the
15
Court has already found no error in the ALJ’s treatment of the doctors’ opinions.
16
See supra at 14-24. The Court will uphold the ALJ’s findings when a claimant
17
attempts to restate the argument that the residual functional capacity finding did
18
not account for all limitations. Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1175-76
19
(9th Cir. 2008).
20
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 25
1
The ALJ properly framed the hypothetical questions addressed to the
2
vocational expert. Additionally, the vocational expert identified jobs in the national
3
economy that exist in significant numbers that match the abilities of Ms. Garcia,
4
given her limitations. Thus, the Court finds the ALJ met her step five burden and
5
did not err in her analysis.
6
VIII. Conclusion
7
Having reviewed the record and the ALJ’s findings, the Court finds the
8
ALJ’s decision is supported by substantial evidence and is free from legal error.
9
Accordingly, IT IS ORDERED:
10
1. Plaintiff’s Motion for Summary Judgment, ECF No. 17, is DENIED.
11
2. Defendant’s Motion for Summary Judgment, ECF No. 19, is
12
13
14
GRANTED.
3. Judgment shall be entered in favor of Defendant and the file shall be
CLOSED.
IT IS SO ORDERED. The District Court Executive is directed to enter this Order,
15
forward copies to counsel and close the file.
16
DATED this 7th day of March, 2017.
17
18
19
s/Robert H. Whaley
ROBERT H. WHALEY
Senior United States District Judge
20
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY
JUDGMENT ~ 26
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