Roybal v. Colvin

Filing 15

ORDER affirming the final decision of the Commissioner by Judge Richard A Jones. (RS)

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HONORABLE RICHARD A. JONES 1 2 3 4 5 6 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 8 BARBARA ROYBAL, 9 10 11 12 Plaintiff, CASE NO. C14-1619RAJ v. ORDER CAROLYN W. COLVIN, Acting Commissioner of Social Security, Defendants. 13 I. 14 15 INTRODUCTION This matter comes before the Court pursuant to 42 U.S.C. § 405(g) on review of 16 the final decision of the Commissioner of the Social Security Administration denying 17 Plaintiff Barbara Roybal’s (“Plaintiff”) application for Supplemental Social Security 18 Income disability benefits. The Court has considered the Parties’ briefs and the 19 Administrative Record (“AR”). As further explained in this Order, the Court AFFIRMS 20 the Commissioner’s final decision and DISMISSES this Action. II. 21 22 BACKGROUND Plaintiff filed her application for supplemental security income on February 1, 23 2012 alleging a disability beginning on June 1, 2008. See AR 22. The ALJ held a 24 hearing in February 2013. Id. Following the hearing, the ALJ denied the Plaintiff’s 25 application in a written decision issued March 15, 2013, finding that Plaintiff was not 26 disabled under the Social Security Act. Id. at 40. Plaintiff requested review of the 27 decision, but the Appeals Council denied review on September 2, 2014. Id. at 1-5. 28 ORDER – 1 1 In the written decision, the ALJ determined that the Plaintiff suffered from several 2 severe impairments, specifically major depressive disorder, post traumatic stress disorder, 3 and a learning disorder in mathematics. Id. at 24. Despite these impairments, the ALJ 4 found that Plaintiff had the “residual functional capacity to perform a full range of work 5 at all exertional levels. The claimant is able to understand, remember, and carry out 6 simple, routine tasks on a regular and continuing basis throughout a normal workday and 7 workweek.” Id. at 27. Consequently, the ALJ found that Plaintiff could perform her past 8 relevant work as a photo finishing lab worker. Id. at 35. The ALJ also found, by relying 9 on the Medical-Vocational Guidelines (the “grids”), that there were other jobs that exist 10 in significant numbers in the national economy that the Plaintiff could also perform. See 11 id. at 36-39. Because the ALJ concluded that Plaintiff could perform her past work and 12 that there were jobs that existed in significant numbers that Plaintiff could perform, the 13 ALJ found that Plaintiff was not disabled. Id. at 39-40. III. 14 15 LEGAL STANDARD In a case like this one, where the Court reviews the decision of an administrative 16 law judge (“ALJ”) to deny disability benefits, the Court must generally affirm the ALJ’s 17 decision where substantial evidence supports it. Bray v. Comm’r of SSA, 554 F.3d 1219, 18 1222 (9th Cir. 2009) (“Substantial evidence means more than a mere scintilla but less 19 than a preponderance; it is such relevant evidence as a reasonable mind might accept as 20 adequate to support a conclusion.”) (citation omitted). In certain circumstances, such as 21 when an ALJ rejects a claimant’s testimony about the severity of her impairments, a 22 higher standard applies. Greger v. Barnhart, 464 F.3d 968, 972 (9th Cir. 2006) 23 (requiring “specific, cogent reasons” for rejecting claimant’s testimony, and “clear and 24 convincing evidence” where there is no evidence of malingering). Similarly, an ALJ can 25 reject the uncontradicted opinions of a treating or examining medical provider only where 26 clear and convincing evidence supports that decision. Lester v. Chater, 81 F.3d 821, 830 27 (9th Cir. 1995). Even where medical evidence contradicts the opinion of a treating or 28 ORDER – 2 1 examining provider, the “ALJ may only reject it by providing specific and legitimate 2 reasons that are supported by substantial evidence.” Garrison v. Colvin, 759 F.3d 995, 3 1012 (9th Cir. 2014). The Court does not defer to the ALJ’s legal conclusions. Bray, 4 554 F.3d at 1222. 5 A five-step process determines whether an applicant is disabled. See Treichler v. 6 Comm’r of SSA, 775 F.3d 1090, 1096 n.1 (9th Cir. 2014); 20 C.F.R. §§ 404.1520(a)(4)(i)- 7 (v), 416.920(a)(4)(i)-(v). The burden of proof is on the applicant in the first four steps, 8 which are the prerequisites of a prima facie case of disability. Treichler, 775 F.3d at 9 1096 n.1. In the first step, the applicant must show that she did not engage in substantial 10 gainful activity during a relevant time period. 20 C.F.R. § 404.1520(a)(4)(i). If she did, 11 then she is not disabled. If she did not, then the claimant must show at the second step 12 that she has a “severe medically determinable physical or mental impairment” or 13 combination of impairments that are collectively severe. 20 C.F.R. § 404.1520(a)(4)(ii). 14 The severe impairment must generally last at least a year. Id.; see also 20 C.F.R. 15 § 416.909 (setting “duration requirement” for impairment). If an applicant shows a 16 severe impairment of sufficient duration, she must show at the third step that over the 17 course of at least a year, her impairment “meets or equals” an impairment listed in 18 applicable regulations. 20 C.F.R. § 404.1520(a)(4)(iii). If it does, she is disabled. If not, 19 the ALJ must determine, between step three and step four, the applicant’s residual 20 functional capacity (“RFC”), which is an assessment of the applicant’s “ability to work 21 after accounting for her verifiable impairments.” Bray, 554 F.3d at 1222-23. The 22 applicant must demonstrate at step four that her RFC is such that she cannot perform her 23 past relevant work. 20 C.F.R. § 404.1520(a)(4)(iv) (noting that an applicant who can 24 perform past relevant work is not disabled). If she cannot, then the burden shifts to the 25 SSA to demonstrate that her RFC permits her to perform other jobs that exist in 26 substantial numbers in the national economy. See Bray, 554 F.3d at 1223 (describing 27 allocation of burdens in five-step process). 28 ORDER – 3 IV. 1 2 3 ANALYSIS Plaintiff raises five issues to be reviewed by this Court. Specifically, Plaintiff asserts the following disputed issues: 4 1. Whether the ALJ erred in weighing the opinion evidence of David Knopes, 5 Ph.D, Greg Thompson, LMHC, and Aliza Hauser, M.A. in making the RFC 6 assessment; 7 8 2. Whether the ALJ’s erred in finding that Plaintiff could perform her past relevant work as a photo finishing lab worker was proper; 9 3. Whether the ALJ erred in failing to consider Plaintiff’s mathematics disorder 10 in conducting his RFC assessment or in his finding that Plaintiff was not 11 disabled at step five based on the framework of the grids; 12 13 14 15 4. Whether the ALJ’s decision is supported by substantial evidence despite new evidence submitted to the Appeals Council; and 5. Whether the Court should remand for further proceedings or for payment of benefits. 16 See Dkt. # 12 at 1-2; Dkt. # 13 at 1. 17 Because these are the only asserted errors, these are the only issues this Court 18 considers in this review. See Carmickle v. Comm’r, Social Sec. Admin., 533 F.3d 1155, 19 1161 n.2 (9th Cir. 2008) (refusing to review ALJ’s conclusion when plaintiff “failed to 20 argue th[e] issue with any specificity in his briefing”); Lewis v. Apfel, 236 F.3d 503, 517 21 n. 13 (9th Cir. 2001) (limiting review to issues plaintiff raises). 22 a. Did the ALJ err in weighing the opinions evidence in performing the RFC assessment? 23 Plaintiff takes issue with the ALJ’s consideration of the medical opinions of 24 examining psychologist David Knopes, Ph.D, treating counselor Greg Thompson, 25 LMHC, and vocational consultant Aliza Hauser in performing the RFC assessment. See 26 Dkt. # 12 at 7. 27 28 ORDER – 4 i. David Knopes, Ph.D 1 2 Plaintiff requests that the Court find that the ALJ failed to give specific and 3 legitimate reasons for rejecting Dr. Knopes’ opinion that Plaintiff’s mental health issues 4 were a primary barrier to her ability to search, obtain, and maintain independent 5 competitive employment. See Dkt. # 12 at 7-8. Dr. Knopes’ opinion was contradicted by 6 State Agency sources – specifically the opinions of State agency psychologists Jim 7 Robinson Ph.D and Patricia Kraft Ph.D. See AR 31-32. “If a treating or examining 8 doctor’s opinion is contradicted by another doctor’s opinion, an ALJ may only reject it by 9 providing specific and legitimate reasons that are supported by substantial evidence.” 10 Ryan v. Comm’r of Social Sec., 528 F.3d 1194, 1198 (9th Cir. 2008) (quoting Bayliss v. 11 Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005)). 12 Dr. Knopes examined Plaintiff in June 2011 because Plaintiff had requested for 13 assistance from the Department of Vocational Rehabilitation to return to work. See AR 14 267-68. Dr. Knopes noted that Plaintiff’s neuropsychological test data was generally 15 within the average range. Id. at 287-88. Nevertheless, Dr. Knopes also concluded that 16 Plaintiff’s “mental health is identified as a primary barrier to her ability to search, obtain, 17 and maintain independent competitive employment.” Id. The ALJ gave little weight to 18 Dr. Knopes’ opinions. See AR at 33. In particular, the ALJ found that Dr. Knopes “gave 19 no specific functional limitations in [his] assessment.” Id. at 32-33. The ALJ found that 20 Dr. Knopes’ opinion that Plaintiff was unable to work was, at base, a disability 21 conclusion and properly disregarded because “the final responsibility for deciding 22 whether the claimant is ‘disabled’ or unable to work is reserved to the Commissioner.” 23 Id. at 33. The ALJ also found that Dr. Knopes “cited to no objective evidence to support 24 a finding that the claimant could not perform even simple work.” Id. 25 Plaintiff first argues that the ALJ erred because he failed to take into account Dr. 26 Knopes’ findings as to Plaintiff’s symptoms as evaluated using the MMPI-IIRF and other 27 tests. See Dkt. # 12 at 8. In his report, Dr. Knopes noted that Plaintiff’s responding 28 ORDER – 5 1 pattern to the MMPI was consistent with her self-reported levels of depression. See AR 2 at 295. According to Dr. Knopes, these mental health issues formed the primary bar to 3 Plaintiff’s ability to search for employment. Id. at 267-68. The ALJ considered Dr. Knopes’ tests, acknowledging that Dr. Knopes’ 4 5 “neuropsychological test results showed some deficits in concentration” and that Plaintiff 6 had “some impairment in executive functioning and complex concentration.” See AR at 7 33. However, the ALJ noted that Dr. Knopes’ “mental status exam with the claimant 8 showed intact ability to follow a three-step command” and other tests “showed average 9 general intellectual ability and low-average ability to sustain attention, concentrate, and 10 exert mental control.” Id. These results all supported the ALJ’s conclusion that Dr. 11 Knopes did not provide objective support for his opinion that Plaintiff could not perform 12 simple work. 1 13 Plaintiff next argues that the ALJ improperly rejected Dr. Knopes’ opinion on the 14 basis that it was inconsistent with Plaintiff’s report that she was independent in her daily 15 activities, such as cooking, cleaning, grocery shopping, and caring for multiple children. 16 See Dkt. # 12 at 10. Plaintiff argues that the ALJ did not explain how these activities 17 were inconsistent with the motivation and social problems reported in Dr. Knopes’ report 18 – namely that Plaintiff lacked energy, was pessimistic, and was socially introverted and 19 disengaged. See id. at 8-9. An ALJ is permitted to discount a doctor’s opinion to the 20 extent it conflicts with the claimant’s daily activities. See Morgan v. Comm’r of the Soc. 21 Sec. Admin., 169 F.3d 595, 601-02 (9th Cir. 1999). And the ALJ noted that the Plaintiff 22 1 23 24 25 26 27 28 In further support of the ALJ’s proper consideration of Dr. Knopes’ opinions, the Court notes that the ALJ had previously found that Plaintiff’s allegations of high levels of depression could be controlled effectively through medication based on treatment notes. See id. at 29-30, 344, 449-50; see also Warre v. Comm’r of Social Sec. Admin., 439 F.3d 1001, 1006 (9th Cir. 2006) (“Impairments that can be controlled effectively with medication are not disabling for the purpose of determining eligibility for SSI benefits.”). The fact that Plaintiff’s symptoms attributable to her depression could be controlled effectively through medication would indicate that the ALJ properly accorded less weight to these tests, particularly as Dr. Knopes also specifically concluded that Plaintiff’s a new “medication regimen” and continued psychotherapy work would “improve both perception and performance of [Plaintiff’s] essentially normal neuropsychological profile.” See id. at 297. ORDER – 6 1 had “relatively intact social functioning” based on Plaintiff’s own reports that she was 2 able “to go grocery shopping and use public transportation,” as well as treatment notes 3 indicating that Plaintiff “watches over other residents’ children in addition to her own, 4 and has been coaching other young mothers regarding parenting skills.” See AR at 26- 5 27. There are few activities more physically exhausting than caring for children – and it 6 would be a stretch to consider an individual socially disengaged or introverted if she 7 taught other mothers how to care for their children. The ALJ’s reasoning was sound. 8 Finally, ALJ was entitled to accord less weight to Dr. Knopes’ for the lack of 9 specificity of his opinions as compared to the State Agency sources. See Meanel v. Apfel, 10 172 F.3d 1111, 1113 (9th Cir. 1999) (finding that only one doctor’s “made specific 11 findings that were useful in the disability determination”); see also Miller v. Comm’r of 12 Social Sec., No. 1:13-CV-1872, 2014 WL 3950912, at *15 (N.D. Ohio Aug. 12, 2014) 13 (“the ALJ reasonably assigned ‘less weight’ to the opinion, because the doctor failed to 14 define the term ‘brief.’ Given the lack of specificity, the ALJ reasonably gave “less 15 weight” to such a suggestion, particularly because other medical opinions exist in the 16 record that more precisely identify Plaintiff's ability to sit and stand, including those of 17 the state agency physicians, which the ALJ credited.”). 18 For these reasons, the Court finds that the ALJ gave specific and legitimate 19 reasons for rejecting Dr. Knopes’ opinion. 20 ii. Greg Thompson, LMHC 21 Plaintiff next argues that the ALJ improperly rejected Mr. Thompson, Plaintiff’s 22 treating counselor’s, opinions. See Dkt. # 12 at 11-14. Plaintiff argues that the ALJ did 23 not give germane reasons for rejecting Mr. Thompson’s testimony and opinions. Id. 24 The ALJ gave Mr. Thompson’s testimony and other opinions little to no weight. 25 See AR at 34-35. Mr. Thompson assessed Plaintiff with a number of moderate to marked 26 cognitive and social limitations in his completed Department of Social and Health 27 Services (“DSHS”) mental assessments and in his testimony at the hearing. See id. at 34- 28 ORDER – 7 1 35. At the time of the hearing, Mr. Thompson had been counseling Plaintiff for about 2 five years. See AR 69. He indicated that Plaintiff had come to his agency for help 3 because she was feeling depressed and unmotivated. Id. at 70. Mr. Thompson provided 4 DSHS mental assessments in February 2011 and April 2012. See id. at 34. 5 In Mr. Thompson’s February 2011 assessment, Mr. Thompson gave Plaintiff a 6 GAF score of 49, noted moderate to marked cognitive and social limitations, and 7 concluded that it would be difficult for Plaintiff to work in a public setting. See id. at 34, 8 261-64. The ALJ rejected this opinion because Mr. Thompson gave no clinical findings 9 to support the opinion and because it relied on situational factors not relevant to the 10 assessment of functional capacity. Id. at 34. These were germane reasons for affording 11 Mr. Thompson’s opinion zero weight (see Lawson v. Colvin, No. C13-5049-JCC, 2013 12 WL 6095518, at *18 (W.D. Wash. Nov. 20, 2013)), particularly as the DSHS form itself 13 instructed that clinical findings should be included (see AR at 263). 14 Mr. Thompson’s April 2012 opinion was virtually identical to the February 2011 15 opinion though it included mental status examination findings (compare AR at 261-65 16 with AR 394-398), which the ALJ noted in his written decision (see AR at 34). The ALJ 17 afforded this opinion no weight because Mr. Thompson “did not tie his exam findings to 18 the specific functional limitations” and “again relied on factors not relevant to an 19 assessment of function.” Id. at 34. Mr. Thompson also noted that Plaintiff had not 20 improved significantly with treatment (see id. at 397), which the ALJ found was 21 contradicted by other evidence in the record (see id. at 34). These were germane reasons 22 for rejecting this opinion. This is particularly true as Dr. Haney’s treatment records – and 23 other records – contradict the severe limitations assessed by Mr. Thompson (see id. at 29- 24 30, 330, 333, 336, 342, 344, 347) and because the GAF score was inconsistent with 25 Plaintiff’s daily activities, including supervising children for others (see id. at 34, 406, 26 410, 413, 434, 437, 441-42, 445). 27 28 ORDER – 8 1 The ALJ also offered germane reasons for rejecting Mr. Thompson’s hearing 2 testimony by finding that it was inconsistent with the record. See id. at 34-35. 3 Specifically, the ALJ found that Mr. Thompson’s conclusions, including that Plaintiff 4 “gets distracted easily and sometimes will freeze in response to authoritative responses,” 5 were “not consistent with the record.” See id. at 35. The ALJ gave Mr. Thompson’s 6 testimony little weight because Mr. Thompson’s own “therapy and case management 7 notes indicate that the claimant is not only successfully caring for her own children but is 8 also watching over other children in her housing community.” Id. In fact, the ALJ noted 9 that Mr. Thompson’s notes showed, inter alia, that Plaintiff coached other parents in the 10 community, children in the community came to Plaintiff for guidance, and that Mr. 11 Thompson was helping Plaintiff advocate for her children and for others’ children. Id. In 12 particular, the ALJ referenced notes from May 2012 which indicate indicates that 13 Plaintiff “has works [sic] generally out of a cognitive framework of negative self-talk” 14 and October 2012 which indicates that Plaintiff has been helped to “look at her worth as a 15 mother” through effective parenting. Id.; see also id. at 413, 445. These were specific 16 and germane reasons for rejecting Mr. Thompson’s testimony regarding Plaintiff’s 17 response to authoritative responses. iii. Aliza Hauser, M.A., CRS 18 19 Finally, Plaintiff argues that the ALJ failed to give germane reasons for rejecting 20 the opinions of Ms. Hauser. See Dkt. # 12 at 14-15. Ms. Hauser conducted a 21 Comprehensive Vocational Evaluation in December 2011. See AR at 388. In this 22 evaluation, Ms. Hauser reported, amongst other things, that tests indicated that Plaintiff 23 “scored in the probable range for avoidant, depressive and dependent personality traits,” 24 which may present some occupational issues. See id. at 390. Nevertheless, Ms. Hauser’s 25 evaluation did not give a concrete description of Plaintiff’s functional capacity. See 26 generally id. at 391-93. Ms. Hauser’s report does not indicate that Plaintiff’s limitations 27 would affect Plaintiff’s ability to work; rather, the summary notes that Plaintiff’s barriers 28 ORDER – 9 1 to work included needing vocational training, help with transportation, and with time 2 management and organization. Id. The summary also indicates that Plaintiff needed to 3 develop a plan to treat physical and mental issues. Id. at 392. The ALJ rejected Ms. Hauser’s evaluation in part because “it does not give a 4 5 specific assessment of functional capacity.” Id. at 33. As noted above, the lack of 6 specificity was a specific reason for rejecting an opinion. See Meanel, 172 F.3d at 1113. 7 Additionally, the ALJ noted that the evaluation was “based in part on situational factors 8 not relevant to an assessment of the claimant’s residual functional capacity . . . such as 9 the claimant’s preference for working close to home and her difficulty traveling by bus 10 with her children.” Id. at 33-34. These were legitimate reasons for rejecting Ms. 11 Hauser’s evaluation. See e.g., Cole v. Colvin, No. 1:12-CV-08597 ALC, 2014 WL 12 1224568, at *4 (S.D.N.Y. Mar. 24, 2014) (childcare concerns irrelevant to RFC 13 determination); Roach v. Colvin, No. 5:12-CV-992 GLS/ATB, 2013 WL 5464748, at *11 14 (N.D.N.Y. Sept. 30, 2013) (transportation issues irrelevant to RFC determination). The 15 Court therefore finds that the ALJ gave germane reasons 2 for rejecting Ms. Hauser’s 16 evaluation. 17 b. Did the ALJ err in finding that Plaintiff could perform her past relevant work as a photo lab finisher? 18 Plaintiff argues that the ALJ erred by finding that she could perform her past 19 relevant work as a photo finishing lab worker. See Dkt. # 12 at 3. Plaintiff argues that 20 the ALJ’s finding that she is limited to “simple, routine tasks” is inconsistent with a 21 finding that she can work as a photo finishing lab worker because it is a semi-skilled job 22 with a Specific Vocational Preparation (“SVP”) score of three. Id. 23 24 25 26 27 28 2 The ALJ also alluded to another germane reason for rejecting Ms. Hauser’s report, noting that “[m]otivation looms large in this case” in response to the practical barriers cited as limits on Plaintiff’s ability to work. AR at 34 n.11. Motivation and the issue of secondary gain is a relevant in assessing the credibility of the Plaintiff’s allegations of disability. See Matney on Behalf of Matney v. Sullivan, 981 F.2d 1016, 1020 (9th Cir. 1998) (“well documented motivation to obtain social security benefits” was a specific finding supporting credibility determination). ORDER – 10 1 The SVP level in a Dictionary of Occupational Titles (“DOT”) listing “does not 2 address whether a job entails only simple, repetitive tasks.” Meissl v. Barnhart, 403 F. 3 Supp. 2d 981, 983 (C.D. Cal. 2005). Instead, “[a] job’s SVP is focused on ‘the amount of 4 lapsed time’ it takes for a typical worker to learn the job’s duties.” Id. A “job’s 5 reasoning level” better “gauges the minimal ability a worker needs to complete the job’s 6 tasks themselves.” Id. Here, the DOT lists a photofinishing lab worker as requiring only 7 a reasoning level of 2. See DOT 976.687-018. And numerous courts have held that an 8 ALJ’s finding that an individual is “able to perform simple, repetitive instructions 9 indicates a level of reasoning above” level 1. Meissl, 403 F. Supp. 2d at 984 (citing 10 Hackett v. Barnhart, 395 F.3d 1168, 1176 (10th Cir. 2005)). That is in line with the 11 ALJ’s findings here, as the ALJ exhaustively explained. See AR at 36-39 (noting that “a 12 limitation to simple repetitive work falls within the ambit of the DOT’s reasoning levels 13 one and two”). 14 Additionally supporting the ALJ’s conclusion is the fact that he found that 15 Plaintiff had a high school education. See AR at 36, 48, 184. The regulations provide 16 that an individual who has a high school education or above is generally considered to be 17 able to “do semi-skilled through skilled work.” 20 C.F.R. § 416.964(b)(4). Even though 18 the DOT lists photofinishing lab worker jobs as having an SVP score of three, indicating 19 that it is a semi-skilled job (see Policy Interpretation Ruling : Titles II & Xvi: Use of 20 Vocational Expert & Vocational Specialist Evidence, & Other Reliable Occupational 21 Info. in Disability Decisions, SSR 00-4P (S.S.A. Dec. 4, 2000)), Plaintiff’s education 22 level suggests that she would still have been able to perform her past relevant work. 23 Accordingly, this Court finds that the ALJ’s conclusion was supported by substantial 24 evidence. 25 c. Was the ALJ’s decision supported by substantial evidence despite the new evidence submitted to the Appeals Council? 26 After the ALJ’s decision, Plaintiff was examined by Victoria McDuffee, Ph.D on 27 28 March 21, 2013. See AR at 451-461. Dr. McDuffee administered several tests; ORDER – 11 1 Plaintiff’s responses were consistent with the outcomes of the inventories administered 2 by Dr. Knopes and Ms. Hauser. See id. at 274-75, 281, 451-461. Dr. McDuffee’s 3 opinion was submitted to the Appeals Council, which considered it and made it part of 4 the record. See id. at 1, 4. Nevertheless, the Appeals Council did not find that this 5 opinion provided a basis for changing the ALJ’s decision. See id. at 1. 6 Ordinarily, the Appeals Council will grant review if it finds that the ALJ’s 7 decision is contrary to the weight of the record when the new and material evidence is 8 considered. See Warner v. Astrue, 859 F. Supp. 2d 1107, 1113 (W.D. Wash. 2012). 9 Where new evidence is submitted to the Appeals Council, which considers the evidence 10 but nevertheless denies review, the reviewing court must still review that evidence. See 11 Brewes v. Comm’r of Social Sec. Admin., 682 F.3d 1157, 1159-60 (9th Cir. 2012). In this 12 situation, the reviewing court asks whether the ALJ’s decision is supported by substantial 13 evidence after taking into account the new evidence. See Springer v. Colvin, 31 F. Supp. 14 3d 1246, 1261 (E.D. Wash. 2014). If the new evidence creates a reasonable possibility 15 that it would change the outcome of the ALJ’s decision, then remand is appropriate to 16 allow the ALJ to consider the evidence. See Mayes v. Massanari, 276 F.3d 453, 462 (9th 17 Cir. 2001). 18 Plaintiff argues that because Dr. McDuffee’s opinions are largely consistent with 19 those of Dr. Knopes, Ms. Hauser, and Mr. Thompson, the ALJ’s decision is no longer 20 supported by substantial evidence. See Dkt. # 12 at 15-17. The Court disagrees. The 21 ALJ rejected the conclusions of Dr. Knopes, Mr. Thompson, and Ms. Hauser in large part 22 because their opinions were at odds with Plaintiff’s reports of daily activities. See AR at 23 33-35. Dr. McDuffee’s conclusions are therefore cumulative would not have changed the 24 outcome of the ALJ’s decision, meaning that the ALJ’s decision remains supported by 25 substantial evidence. See Underwood v. Colvin, No. 6:14-CV-00934-AA, 2015 WL 26 5521991, at *5 (D. Or. Sept. 10, 2015). 27 28 ORDER – 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 d. Did the ALJ err in failing to consider Plaintiff’s mathematics disorder in his RFC assessment or in his determination that Plaintiff was not disabled based on the framework of the grids? Plaintiff next argues that the ALJ erred in failing to incorporate any difficulty with mathematics into his RFC assessment. Dkt. # 12 at 4. In conjunction, Plaintiff argues that the ALJ erred in failing to consider her mathematics disorder in determining that she was not disabled based on Medical-Vocational Rule 204.00. See id. The ALJ found that Plaintiff’s mathematics disorder is a severe impairment. See AR at 24-25. Plaintiff’s mathematics ability has been tested several times, with her scoring in the 14th percentile in arithmetic testing in October 2000 (see id. at 255) and being assessed by Dr. Knopes to be at the fifth grade, second month level in November 2011 (see id. at 274). Although Plaintiff appears to argue otherwise, the ALJ did thoroughly consider Plaintiff’s mathematics disorder in his RFC assessment. See AR at 27-31. The ALJ specifically found that Plaintiff’s daily activities were inconsistent with her allegations of disabling limitations, including with respect to her allegations of a mathematics disorder. See id. at 31. The ALJ found that in Plaintiff’s “function report, she indicated that she is able to pay bills and use a checkbook, in spite of her difficulties with mathematics.” Id. at 31, 203. Consequently, he found that these reports supported discrediting Plaintiff’s testimony of disabling limitations. See id. at 31 n.6. Additionally, the diagnosis of a particular impairment does not presumptively demonstrate any related limitation in a disability analysis. See Young v. Sullivan, 911 F.2d 180, 183-84 (9th Cir. 1990). Plaintiff suggests that the ALJ’s finding of a mathematics disorder requires that the ALJ specifically include a mathematics limitation in her RFC (see Dkt. # 14 at 3), but the cases are not uniform, and numerous courts have upheld RFCs without mathematics limitations even when ALJs have found a severe impairment in the form of a mathematics disorder (see e.g., Epperson v. Comm’r of Social Sec. Admin., No. 4:10-CV-00540, 2013 WL 1222308, at *2 (E.D. Tex. Mar. 25, 27 28 ORDER – 13 1 2013); Munoz v. Astrue, No. CIV.A.6:08-CV-071-C, 2010 WL 935452, at *3 (N.D. Tex. 2 Feb. 22, 2010); Seamans v. Astrue, No. CIV. 10-6017, 2011 WL 1343333, at *1 (W.D. 3 Ark. Apr. 8, 2011)). This makes sense, as there is “no authority to support the 4 proposition that a severe mental limitation must correspond to limitations on a claimant’s 5 ability to perform basic work activities.” Bray, 554 F.3d at 1228-29. As such, the ALJ 6 did not err in not incorporating a mathematics limitation into Plaintiff’s RFC. Finally, Plaintiff argues that the ALJ erred by relying solely on the grids because 7 8 he determined that Plaintiff’s RFC included the non-exertional limitation to “simple, 9 routine tasks on a regular and continuing basis.” See Dkt. # 12 at 5-7. 10 If an individual cannot perform her past relevant work, then the ALJ has the 11 burden of producing evidence that there are other jobs in significant numbers in the 12 national economy that she can perform. 3 See Tackett v. Apfel, 180 F.3d 1094, 1099 (9th 13 Cir. 1999). An ALJ may rely upon the grids to meet his burden at step five where the 14 grids “accurately and completely describe the claimant’s abilities and limitations.” Id. at 15 1102 (quoting Jones v. Heckler, 760 F.2d 993, 998 (9th Cir. 1985)); 20 C.F.R. 404, 16 Subpt. P. App. 2, § 200.00(a). “[T]he fact that a nonexertional limitation is alleged does 17 not automatically preclude application of the grids. The ALJ should first determine if a 18 claimant’s nonexertional limitations significantly limit the range of work permitted by his 19 exertional limitations.” Tackett, 180 F.3d at 1102; Desrosiers v. Sec’y of Health & 20 Human Servs., 846 F.2d 573, 577 (9th Cir. 1988). “[A]n ALJ is required to seek the 21 assistance of a vocational expert when the non-exertional limitations are at a sufficient 22 level of severity such as to make the grids inapplicable to the particular case.” Hoopai v. 23 Astrue, 499 F.3d 1071, 1076 (9th Cir. 2007). The dispositive issue here “is the severity of the nonexertional impairment at step 24 25 five.” Hansen v. Astrue, No. C07-1198 CRD, 2008 WL 2705594, at *4 (W.D. Wash. 26 27 28 3 The Court notes that the ALJ explicitly found that the Plaintiff could perform her past relevant work. See AR at 36. ORDER – 14 1 July 7, 2008). Plaintiff’s cited case, Holohan v. Massanari, 246 F.3d 1195 (9th Cir. 2 2001) does not compel a finding that a limitation to “simple repetitive tasks significant 3 limitation.” Hansen v. Astrue, 2008 WL 2705594 at *4. Instead, in Holohan, the court 4 remanded for payment of benefits for, among other reasons, the ALJ’s failure to base his 5 rejection of the plaintiff’s treating physician’s opinion on substantial evidence and found 6 that the plaintiff’s severe psychological limitations required vocational expert testimony. 7 Holohan, 246 F.3d at 1207-09. As such, other courts in this district have found that an 8 ALJ need not necessarily call a vocational expert when he finds that the plaintiff has a 9 non-exertional limitation to “simple repetitive work.” See Hansen v. Astrue, 2008 WL 10 2705594, at *3-5 (holding that substantial evidence supported the ALJ’s conclusion that 11 the plaintiff’s non-exertional limitations were not sufficiently severe that they 12 significantly affected his ability to work). Here, substantial evidence supports the ALJ’s finding that Plaintiff’s non- 13 14 exertional limitations were not sufficiently severe as to significantly affect her capacity to 15 perform unskilled work. See AR at 39. As the ALJ exhaustively explained, Plaintiff’s 16 allegations were, to a degree, contradicted by the clinical findings (id. at 29), evidence 17 that Plaintiff had not been fully complying with her treatment (see id. at 29-30), treatment 18 notes showing that Plaintiff was a good parent and “exceptional support” for others in her 19 housing community (id. at 30), and by her daily activities (id. at 31). This Court finds 20 that the ALJ’s findings were supported by substantial evidence and that there is nothing 21 in the record that suggests that vocational expert testimony would have changed the 22 ALJ’s decision. As such, the Court finds no error at this step of the ALJ’s decision. 23 /// 24 /// 25 /// 26 27 28 ORDER – 15 V. 1 2 CONCLUSION For the foregoing reasons, the Court finds that the ALJ’s decision was supported 3 by substantial evidence and free of legal error. The Court therefore AFFIRMS the final 4 decision of the Commissioner denying Plaintiff’s application for supplemental disability 5 benefits and DISMISSES this action. The Clerk shall enter judgment for the Defendant. 6 7 8 9 DATED this 2nd day of October, 2015. 10 11 A 12 13 The Honorable Richard A. Jones United States District Judge 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ORDER – 16

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