Scott v. Colvin

Filing 12

ORDER ON PLAINTIFF'S COMPLAINT - by Judge David W. Christel. This matter is reversed and remanded, pursuant to sentence four of 42 U.S.C. § 405(g), for further proceedings. Nancy A. Berryhill (Acting Commissioner of the Social Security Administration) added. Carolyn W. Colvin (Acting Commissioner of Social Security Administration) terminated.(SH)

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1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT TACOMA 8 9 10 KYLA JERESE SCOTT, 11 12 13 14 15 16 17 18 19 20 21 22 Plaintiff, CASE NO. 3:16-CV-05834-DWC ORDER ON PLAINTIFF’S COMPLAINT v. NANCY A. BERRYHILL, Acting Commissioner of Social Security Administration, Defendant. Plaintiff filed this action, pursuant to 42 U.S.C § 405(g), seeking judicial review of the denial of Plaintiff’s application for Supplemental Security Income (“SSI”) benefits. The parties have consented to proceed before a United States Magistrate Judge. See 28 U.S.C. § 636(c), Fed. R. Civ. P. 73 and Local Magistrate Judge Rule MJR 13. See also Consent to Proceed before a United States Magistrate Judge, Dkt. 5. After reviewing the record, the Court concludes the Administrative Law Judge (“ALJ”) erred by failing to properly evaluate the medical opinion of Plaintiff’s examining psychologist. 23 24 ORDER ON PLAINTIFF’S COMPLAINT - 1 1 Therefore, this matter is reversed and remanded, pursuant to sentence four of 42 U.S.C. § 405(g), 2 for further proceedings. 3 4 PROCEDURAL& FACTUAL HISTORY On November 4, 2013, Plaintiff filed an application for SSI. See Dkt. 7, Administrative 5 Record (“AR”) 158-67. 1 Plaintiff alleges she became disabled on June 1, 2010, due to idiopathic 6 intracranial hypertension, back pain, post-traumatic stress disorder, anxiety, depression, 7 polycystic ovarian syndrome, gastroesophageal reflux disease, anemia, and corneal ulcers. See 8 AR 158, 179. Plaintiff’s application was denied upon initial administrative review and on 9 reconsideration. See AR 47, 59. A hearing was held before an ALJ on January 20, 2015, at which 10 Plaintiff, represented by counsel, appeared and testified. See AR 29. 11 On March 24, 2015, the ALJ found Plaintiff was not disabled within the meaning of 12 Section 1614(a)(3)(A) of the Social Security Act. AR 21. Plaintiff’s request for review of the 13 ALJ’s decision was denied by the Appeals Council on August 8, 2016, making that decision the 14 final decision of the Commissioner of Social Security (the “Commissioner”). See AR 1, 20 15 C.F.R. § 404.981, § 416.1481. On September 29, 2016, Plaintiff filed a complaint in this Court 16 seeking judicial review of the Commissioner’s final decision. 17 Plaintiff argues the denial of benefits should be reversed and remanded for further 18 proceedings, because the ALJ erred by failing to properly evaluate the opinions of one 19 examining and one treating physician. Dkt. 9, p. 1. 20 21 22 1 Plaintiff also filed an application for Disability Insurance Benefits (“DIB”) on August 20, 2013. AR 156-57. However, the application is not referenced again in the record. The Court 24 notes Plaintiff does not have a prior work history. AR 169. 23 ORDER ON PLAINTIFF’S COMPLAINT - 2 1 STANDARD OF REVIEW 2 Under 42 U.S.C. § 405(g), this Court may set aside the Commissioner's denial of social 3 security benefits only if the ALJ's findings are based on legal error or not supported by 4 substantial evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 (9th 5 Cir. 2005) (citing Tidwell v. Apfel, 161 F.3d 599, 601 (9th Cir. 1999)). “Substantial evidence” is 6 more than a scintilla, less than a preponderance, and is such “‘relevant evidence as a reasonable 7 mind might accept as adequate to support a conclusion.’” Magallanes v. Bowen, 881 F.2d 747, 8 750 (9th Cir. 1989) (quoting Davis v. Heckler, 868 F.2d 323, 325-26 (9th Cir. 1989)). 9 10 11 12 DISCUSSION I. Whether the ALJ Properly Evaluated the Medical Opinion Evidence. A. Standard The ALJ must provide “clear and convincing” reasons for rejecting the uncontradicted 13 opinion of either a treating or examining physician or psychologist. Lester v. Chater, 81 F.3d 14 821, 830 (9th Cir. 1996) (citing Embrey v. Bowen, 849 F.2d 418, 422 (9th Cir. 1988); Pitzer v. 15 Sullivan, 908 F.2d 502, 506 (9th Cir. 1990)). However, “[i]n order to discount the opinion of an 16 examining physician in favor of the opinion of a nonexamining medical advisor, the ALJ must 17 set forth specific, legitimate reasons that are supported by substantial evidence in the record.” 18 Nguyen v. Chater, 100 F.3d 1462, 1466 (9th Cir. 1996) (citing Lester, 81 F.3d at 831). The ALJ 19 can accomplish this by “setting out a detailed and thorough summary of the facts and conflicting 20 clinical evidence, stating his interpretation thereof, and making findings.” Reddick v. Chater, 157 21 F.3d 715, 725 (9th Cir. 1998) (citing Magallanes, 881 F.2d at 751). In addition, the ALJ must 22 explain why the ALJ’s own interpretations, rather than those of the doctors, are correct. Reddick, 23 157 F.3d at 725 (citing Embrey, 849 F.2d at 421-22). The ALJ “may not reject ‘significant 24 ORDER ON PLAINTIFF’S COMPLAINT - 3 1 probative evidence’ without explanation.” Flores v. Shalala, 49 F.3d 562, 570-71 (9th Cir. 1995) 2 (quoting Vincent v. Heckler, 739 F.2d 1393, 1395 (9th Cir. 1984) (quoting Cotter v. Harris, 642 3 F.2d 700, 706-07 (3d Cir. 1981))). The “ALJ’s written decision must state reasons for 4 disregarding [such] evidence.” Flores, 49 F.3d at 571. 5 6 7 B. Application of Standard 1. Katrina Higgins, Psy.D., Dr. Higgins examined Plaintiff on January 9, 2014. AR 412. During her interview, 8 Plaintiff endorsed symptoms of depression and anxiety, and reported a history of emotional 9 abuse. AR 412. On mental status examination, Plaintiff presented with a depressed and anxious 10 mood, was occasionally “weepy”, and demonstrated a range of affect “appropriate to the 11 situation and subject of discussion.” AR 415. Plaintiff displayed a mildly impoverished fund of 12 information, impairments in her ability to perform math calculations, “fair to good” performance 13 on attention and concentration measures such as serial 7’s, and marginal to fair performance on 14 measures of insight and judgment. AR 415-16. Dr. Higgins noted Plaintiff “completed tasks at an 15 average pace and demonstrated good persistence.” AR 415. 16 Dr. Higgins diagnosed Plaintiff with Major Depressive Disorder, recurrent, severe 17 without psychotic features, with anxious distress, and rule-out Panic Disorder. AR 416. As a 18 result of these conditions, Dr. Higgins opined Plaintiff would be able to: understand, remember, 19 and carry out short and simple instructions without much difficulty; understand, remember, and 20 carry out complex instructions provided adequate training and support; and make simple work 21 related decisions without special supervision; interact appropriately with coworkers, supervisors, 22 and the public. AR 417. However, Dr. Higgins also opined Plaintiff: may take slightly longer 23 than average to master complex tasks due to mild deficits in concentration and short-term 24 ORDER ON PLAINTIFF’S COMPLAINT - 4 1 retention of information; may have higher than average absenteeism due to her symptoms of 2 depression; may have slow pace of task completion; and would likely not do well in a position 3 with much responsibility. AR 417. 4 The ALJ gave some weight to the majority of Dr. Higgins’ opinion. AR 19. But, the ALJ 5 gave little weight to Dr. Higgins’ opinion Plaintiff might have higher than average absenteeism, 6 “because it appears the doctor relied heavily on the claimant’s subjective report of symptoms and 7 limitations, which are not fully credible for the reasons stated in this decision.” AR 19. Plaintiff 8 argues this was not a specific and legitimate reason for discounting Dr. Higgins’ opined 9 absenteeism limitation. The ALJ also discussed Dr. Higgins’ opinion Plaintiff’s pace of task 10 completion may also be slow. AR 19. The ALJ did not discount this aspect of Dr. Higgins’ 11 opinion, but the ALJ also did not include this limitation in the residual functional capacity 12 (“RFC”). AR 19. Plaintiff argues the ALJ erred by failing to offer any reasons for excluding Dr. 13 Higgins’ pace limitation in the RFC. 14 First, ALJ may discount a physician’s opinion where the opinion is based to a large 15 extent on a claimant’s self-reports, and the ALJ has properly discounted a claimant’s subjective 16 symptom testimony. Tommasetti v. Astrue, 533 F.3d 1035, 1041 (9th Cir. 2008). However, when 17 an opinion is not more heavily based on a patient’s self-reports than on clinical observations, 18 there is no evidentiary basis for rejecting the opinion.” Ghanim v. Colvin, 763 F.3d 1154, 1162 19 (9th Cir. 2014). Here, Dr. Higgins did more than recapitulate Plaintiff’s subjective reports; Dr. 20 Higgins reviewed Plaintiff’s medical records, conducted a clinical interview, and performed a 21 mental status examination. AR 412-16. On examination, Plaintiff presented with 22 depressed/anxious mood, and with impairments in memory, fund of information, ability to 23 perform calculations, orientation to date, and in insight and judgment. AR 415-16. Dr. Higgins 24 ORDER ON PLAINTIFF’S COMPLAINT - 5 1 also noted Plaintiff was tardy to her appointment. AR 415. These findings corroborate Dr. 2 Higgin’s opinions concerning Plaintiff’s depressive symptoms; thus, the ALJ erred by 3 concluding Dr. Higgins’ opined absenteeism limitation was largely based on Plaintiff’s 4 subjective complaints. 5 Further, the ALJ’s error is not harmless. During the ALJ hearing, the vocational expert 6 testified an individual who had more than one unexcused absence per month would preclude 7 employment in any job existing in significant numbers in the national economy. AR 44. Thus, 8 the error is not “inconsequential to the ultimate nondisability determination,” and warrants 9 remand for further proceedings. See Molina v. Astrue, 674 F.3d 1104, 1117 (9th Cir. 2012). 10 Second, an ALJ is not required to adopt the opinion of an examining physician or 11 psychologist; however, in order to reject all or part of a medical opinion, an ALJ must offer at 12 least a specific and legitimate reason for doing so. Nguyen, 100 F.3d at 1466 (citing Lester, 81 13 F.3d at 831). An ALJ errs by purporting to give great weight to an examining physician, yet 14 failing to include all of the physician’s opined limitations into the RFC. See Betts v. Colvin, 531 15 Fed.Appx. 799, 800 (9th Cir. 2013) (finding the ALJ committed reversible error by purporting to 16 give great weight to an examining physician, yet failing to include many of the physician’s 17 opined limitations in the RFC). However, when an ALJ incorporates all of a physician’s opined 18 limitations into a RFC finding, there is no harmful error. See Turner v. Comm’r of Soc. Sec., 613 19 F.3d 1217, 1223 (9th Cir. 2010) (finding the ALJ correctly determined a treating physicians’ 20 report did not assign “any specific limitations on the claimant,” but otherwise incorporated in the 21 RFC what clinical observations the treating physician actually made). See also Meanel v. Apfel, 22 172 F.3d 1111, 1113-14 (9th Cir. 2000). 23 24 ORDER ON PLAINTIFF’S COMPLAINT - 6 1 Here, Dr. Higgins opined Plaintiff may have a slow pace of task completion. AR 19. 2 However, Dr. Higgins also opined Plaintiff was capable of: understanding, remembering, and 3 carrying out short and simple instructions, making simple work related decisions without special 4 supervision, and would only have difficulty in mastering “complex tasks,” without any expressed 5 limitation in Plaintiff’s ability to perform simple tasks. AR 417. Further, in Dr. Higgins’ 6 examination report, she indicated Plaintiff “completed tasks at an average pace and demonstrated 7 good persistence.” AR 415. Based on Dr. Higgins’ report and the other medical evidence of 8 record, the ALJ limited Plaintiff to performing simple, routine tasks. AR 14. As the Ninth Circuit 9 has previously noted, a restriction to simple, routine, repetitive tasks in the RFC adequately 10 captures restrictions related to concentration, persistence, or pace. See Stubbs-Danielson v. 11 Astrue, 539 F.3d 1169, 1174 (9th Cir. 2008). 12 However, because the ALJ committed harmful error by improperly discounting Dr. 13 Higgins’ opined absenteeism limitation, the ALJ should reevaluate the balance of Dr. Higgins’ 14 opinions on remand. 15 2. Stephen Hamilton, M.D. 16 Dr. Hamilton was Plaintiff’s treating neuro-ophthalmologist from May, 2013 through 17 September, 2014. AR 472-86. Plaintiff was referred to Dr. Hamilton for treatment of her ongoing 18 idiopathic intracranial hypertension and associated headache symptoms. AR 479-80. Throughout 19 his treatment, Dr. Hamilton performed vision examinations which resulted in largely 20 unremarkable findings. See AR 472-79. Dr. Hamilton prescribed medication for Plaintiff’s 21 ongoing headaches, which he continued to attribute to idiopathic intracranial hypertension. AR 22 472-79. However, Dr. Hamilton did not opine to any specific work related limitations. AR 47223 86. 24 ORDER ON PLAINTIFF’S COMPLAINT - 7 1 Though Dr. Hamilton’s notes were included in the administrative record, the ALJ failed 2 to discuss Dr. Hamilton’s notes at all in the written decision. See AR 10-21. An ALJ need not 3 discuss all evidence presented to him. Vincent, 739 F.2d at 1394-95. However, an ALJ must 4 explain why “significant, probative evidence” has been rejected. Id. at 1395. Defendant argues 5 the ALJ was not required to discuss Dr. Hamilton’s notes because Dr. Hamilton did not opine to 6 any functional limitations. Dkt. 10, p. 7. But, the ALJ discounted Plaintiff’s subjective symptom 7 testimony, in part, because the ALJ found Plaintiff’s complaints of near-constant, low grade 8 headaches inconsonant with Plaintiff’s failure to seek treatment from a specialist. AR 17. As Dr. 9 Hamilton is, in fact, a specialist who treated Plaintiff’s headaches, Dr. Hamilton’s notes are 10 significant, probative evidence the ALJ was required to consider when evaluating Plaintiff’s 11 subjective symptom testimony. Further, as the case must be remanded due to the ALJ’s error in 12 evaluating Dr. Higgins’ opinion, the ALJ should also reevaluate the medical evidence in light of 13 Dr. Hamilton’s treatment notes. 14 15 CONCLUSION Based on the foregoing reasons, the Court finds the ALJ erred by failing to properly evaluate 16 Dr. Higgins’ opinion, and by failing to consider Dr. Hamilton’s treatment notes. Therefore, the Court 17 orders this matter be reversed and remanded pursuant to sentence four of 42 U.S.C. § 405(g) for a de 18 novo hearing. On remand, the ALJ should reevaluate the medical opinion evidence and proceed on to 19 Step Four and/or Step Five of the sequential evaluation as appropriate. The ALJ should also develop 20 the record as needed. Judgment should be for Plaintiff and the case should be closed. 21 Dated this 8th day of March, 2017. A 22 23 David W. Christel United States Magistrate Judge 24 ORDER ON PLAINTIFF’S COMPLAINT - 8

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