ALLISON CLAIRE, Magistrate Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner") denying her application for period of disability and disability insurance benefits ("DIB") under Title II of the Social Security Act and supplemental security income ("SSI") under Title XVI of the Act. The parties' cross motions for summary judgment are pending. For the reasons discussed below, the Court will grant in part plaintiff's motion for summary judgment, and will deny defendant's cross-motion for summary judgment.
Plaintiff filed her applications for DIB and SSI on September 4, 2007, alleging disability beginning on June 28, 2007. Administrative Record ("AR") 15. Plaintiff's application was denied initially and again upon reconsideration. AR 232-36, 241-45. On March 22, 2010, a hearing was held before administrative law judge ("ALJ") Peter F. Belli. AR 212, 221. Plaintiff appeared with a non-attorney representative at the hearing, at which she and a vocational expert testified. AR 212. In a decision dated May 13, 2010, the ALJ found plaintiff not disabled. AR 221.
On April 29, 2011, the Social Security Appeals Council granted plaintiff's request for review and remanded his case for reconsideration. AR 226-30. The Appeals Council directed the ALJ to: (1) obtain additional evidence concerning the claimant's impairments in order to complete the administrative record in accordance with the regulatory standards regarding consultative examinations and existing medical evidence; (2) give further consideration to the claimant's maximum mental and physical residual functional capacity on a function by function basis during the entire period at issue and provide rationale with specific references to evidence of record in support of assessed limitations; (3) evaluate all lay witness statements pursuant to Social Security Ruling 06-3p and if the opinion is to be discounted, provide rationale germane to the witness; and (4) give further consideration to the requirements of the plaintiff's past relevant work, and if warranted by the expanded record, obtain evidence from a vocational expert to clarify the effect of the assessed limitations on the claimant's occupational base. AR 229. At plaintiff's hearing before the ALJ, she orally agreed to change her alleged onset date of disability to March 1, 2008. AR 82. Upon reconsideration, ALJ Peter F. Belli again found plaintiff not disabled. AR 39.
The ALJ made the following findings (citations to 20 C.F.R. omitted):
AR 15-39.
Plaintiff requested review of the ALJ's decision by the Appeals Council, but it denied review on April 3, 2013, leaving the ALJ's decision as the final decision of the Commissioner of Social Security. AR 1-3.
Born on November 4, 1963, plaintiff was 44 years old on the alleged onset date of disability and 48 years old at the time of the administrative hearing. AR 38, 15, 39. Plaintiff has not engaged in substantial gainful activity since 2002, when she worked as a palletizer/operator for an olive company. AR 37.
The Commissioner's decision that a claimant is not disabled will be upheld if the findings of fact are supported by substantial evidence in the record and the proper legal standards were applied.
The findings of the Commissioner as to any fact, if supported by substantial evidence, are conclusive.
Although this court cannot substitute its discretion for that of the Commissioner, the court nonetheless must review the record as a whole, "weighing both the evidence that supports and the evidence that detracts from the [Commissioner's] conclusion."
"The ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and resolving ambiguities."
The Court will not reverse the Commissioner's decision if it is based on harmless error, which exists only when it is "clear from the record that an ALJ's error was `inconsequential to the ultimate nondisability determination.'"
Plaintiff seeks summary judgment on the grounds that (1) the ALJ failed to properly resolve conflicts between the opinions of plaintiff's treating physician and social security consultants; (2) the ALJ erred by failing to set forth clear and convincing reasons for discrediting plaintiff's allegations of subjective complaints and limitations; (3) substantial evidence does not support the ALJ's findings that plaintiff has the residual functional capacity to perform light work and her past relevant work as a palletizer; and (4) the vocational expert's testimony does not constitute substantial evidence supporting the ALJ's findings that plaintiff has the residual functional capacity to perform her past relevant work and other light work in the national economy. The Commissioner, in turn, argues that the ALJ's decision is supported by substantial evidence and is free from legal error. Further, the Commissioner seeks summary judgment on the grounds that (1) the ALJ properly evaluated the medical evidence in making his residual functional capacity findings; (2) substantial evidence supports the ALJ's adverse credibility findings; (3) the ALJ reasonably concluded that plaintiff could perform her past relevant work as a palletizer based on her own description of the job duties; and (4) the ALJ reasonably relied on the vocational expert to conclude that plaintiff could still perform other work within the national economy.
As a treating physician, the opinion of primary care physician Donna Holscher, M.D. would ordinarily be accorded controlling weight. However, the ALJ refused to grant her opinion such weight and instead favored the opinions of David Richwerger, Ed.D., an examining psychologist who interviewed plaintiff in November 2007. AR 24-26, 31-35. While the ALJ asserted reasons for according "good" weight, instead of "substantial" or "great" weight to the opinion of Dr. Holscher, the Court finds that the ALJ erred for the reasons discussed below.
In the Ninth Circuit, courts "distinguish among the opinions of three types of physicians:
(1) those who treat the claimant (treating physicians); (2) those who examine but do not treat the claimant (examining physicians); and (3) those who neither examine nor treat the claimant (nonexamining physicians)."
"If a treating doctor's opinion is not contradicted by another doctor (i.e., there are no other opinions from examining or nonexamining sources), it may be rejected only for `clear and convincing' reasons supported by substantial evidence in the record."
Treating physicians' subjective judgments are important, and "properly play a part in their medical evaluations."
"If there is substantial evidence in the record contradicting the opinion of the treating physician, the opinion of the treating physician is no longer entitled to `controlling weight.'"
Dr. Holscher began treating plaintiff for her mental impairments as her primary care provider in September 2005. AR 515. In September 2005, Dr. Holscher diagnosed plaintiff with depression and prescribed her Lexapro. AR 515. In August 2006, Dr. Holscher prescribed Topamax in an attempt to get plaintiff's depression "under control." AR 509. Later in that same month, seeing no improvement, Dr. Holscher prescribed plaintiff Cymbalta as well. AR 507. By February 2007, Dr. Holscher had diagnosed plaintiff with a mood disorder, discontinued her prescription of Topamax, which caused her agitation, and replaced it with a prescription for Depakote. AR 485. In March 2007, plaintiff was first diagnosed with probable bipolar disorder and moderate depression. AR 486. In September 2007, plaintiff was also diagnosed with anxiety disorder caused by her general medical condition. AR 490.
In treatment notes from March 2007, Dr. Holscher opines that from the combination of lower back pain and bipolar disorder plaintiff is unable to work five days a week, eight hours a day in sustained employment. AR 505. According to Dr. Holscher plaintiff can occasionally lift 10 pounds and frequently lift less than 10 pounds; stand/walk with normal breaks for less than 2 hours in an 8 hour workday; must alternate when sitting continuously; and has limited pushing and pulling abilities in both her upper and lower extremities.
In May 2007, Dr. Holscher opined that due to plaintiff's bipolar disorder, panic attacks, and a history of child and spousal abuse, she had a Global Assessment of Functioning ("GAF") score of 45. AR 494-98. Dr. Holscher noted that plaintiff had poor memory, weight gain, sleep disturbance, personality changes, mood disturbance, suicidal ideas, manic syndrome, and a number of other symptoms.
Dr. Holscher referred plaintiff to Tehama County Health Services Agency for an assessment in November 2007. AR 559-61. During her assessment by Ed Thacker, LMFT, plaintiff indicated that she grew up in an abusive home and had survived an abusive marriage. AR 559. Although her childhood trauma had been disturbing her for many years, plaintiff reported that since her workplace injury in 2003 she lost her temper easily and "did not trust herself to go out in public for fear of losing control."
In August 2008, Dr. Holscher diagnosed plaintiff as "bipolar affective disorder, depressed, in remission" for the first time, and recommended that she continue her prescription of Lexapro and Topamax while decreasing her prescription of Geodon. AR 680-81. Dr. Holscher continued this diagnosis with slightly varying prescriptions until at least December 2009. AR 756-57. In October 2008, a Tehama County Clinical Assessment diagnosed plaintiff with a mood disorder and PTSD with a GAF score of 55. AR 695. Notes from a Tehama County Health Services psychiatrist in September 2009 indicate that plaintiff was still being treated for mixed bipolar disorder at that time. AR 784.
In August 2010, Dr. Holscher again diagnosed plaintiff with "bipolar affective disorder, depressed, in remission" and prescribed her Lunesta, Topamax, and Cymbalta. AR 838-39. This diagnosis continued until at least January 2011. AR 819. In August 2011 plaintiff again received treatment from Tehama County Health Services and was diagnosed with recurrent, major depression and chronic PTSD with a GAF of 54 to 55. AR 852, 857. During treatment plaintiff was often described as well oriented, alert, cooperative, and calm. AR 858, 860. Plaintiff continued seeing a therapist monthly through March 2012, when she was diagnosed as having PTSD and/or recurrent major depressive disorder. AR 904-23.
The ALJ decided to afford Dr. Holscher's March 2007 opinion on plaintiff's mental impairments no weight as follows:
AR 31.
The ALJ's reasoning for affording Dr. Holscher's May 2007 opinion on plaintiff's mental impairments with "good" and not "substantial" or "great" weight was substantially similar:
AR 31.
First, although the ALJ has the authority to make the ultimate determination regarding disability, a treating physician's opinion regarding the disability status of a claimant is entitled to substantial weight.
The ALJ's assertion that Dr. Holscher's opinion should not be afforded controlling weight because plaintiff's symptoms are managed with medication is not supported by substantial evidence. In determining whether a claimant is disabled, the Commissioner must evaluate the claimant's "ability to work on a sustained basis." 20 C.F.R. § 404.1512(a). "Occasional symptom-free periods—and even the sporadic ability to work—are not inconsistent with disability."
The ALJ also asserts that Dr. Holscher's medical opinion is undermined by plaintiff's daily activities and ability to be compensated for the care of her downs syndrome child. However, the fact that plaintiff is able to care for her children does not contradict Dr. Holscher's opinion. In determining a claimant's residual functional capacity, the ALJ may consider any of the claimant's daily activities that "may be seen as inconsistent with the presence of a condition which would preclude all work activity."
For all these reasons, the Court finds that the ALJ has failed to provide specific, legitimate reasons supported by substantial evidence for discounting Dr. Holscher's opinion regarding plaintiff's mental impairment. In light of this error, the Court declines to reach plaintiff's arguments regarding the ALJ's residual functional capacity determination and the testimony of the vocational expert. The Court also declines to consider plaintiff's additional argument that the ALJ erred by finding plaintiff's testimony to be less than credible. However, the ALJ should assess plaintiff's credibility on remand in accordance with the Ninth Circuit's test as described in
Plaintiff requests that the decision of the ALJ be vacated and his case be remanded for a new hearing. The decision whether to remand for further proceedings turns upon the likely utility of such proceedings.
Accordingly, for the reasons stated above, IT IS HEREBY ORDERED that:
1. Plaintiff's motion for summary judgment (ECF No. 16) is granted in part;
2. The Commissioner's cross-motion for summary judgment (ECF No. 23) is denied; and
3. This matter is remanded for further proceedings consistent with this order.