OPINION AND ORDER
BROWN, United States District Judge.
Plaintiff Lyndy M. Slaughter seeks judicial review of a final decision of the Commissioner of the Social Security Administration (SSA) in which she denied Plaintiff's applications for Supplemental Security Income (SSI) and Disability Insurance Benefits (DIB) under Titles XVI and II of the Social Security Act.
This matter is now before the Court on Plaintiff's Complaint in which she seeks review of the Commissioner's decision and the Commissioner's Motion to Remand (# 14) for further administrative proceedings on the ground that the Administrative Law Judge (ALJ) erred at Step Five.
Following a review of the record, the Court REVERSES the Commissioner's decision, DENIES the Commissioner's Motion to Remand for further administrative proceedings, and REMANDS this matter pursuant to sentence four of 42 U.S.C. § 405(g) for the immediate calculation and award of benefits.
ADMINISTRATIVE HISTORY
Plaintiff filed her application for DIB on October 6, 2010, and her application for SSI on March 9, 2011. Tr. 7, 92.1 Plaintiff alleged a disability onset date of June 3, 2007. Her applications were denied initially and on reconsideration. An ALJ held a hearing on April 12, 2013. Tr. 35. At the hearing Plaintiff and a vocational expert (VE) testified. Plaintiff was represented by an attorney.
On May 16, 2013, the ALJ issued an opinion in which he found Plaintiff is not disabled and, therefore, is not entitled to benefits. Tr. 10-28. On September 3, 2014, that decision became the final decision of the Commissioner when the Appeals Council denied Plaintiff's request for review. Tr. 1-4. See Sims v. Apfel, 530 U.S. 103, 106-07, 120 S.Ct. 2080, 147 L.Ed.2d 80 (2000).
BACKGROUND
Plaintiff was born on August 24, 1980. Tr. 76. Plaintiff was 32 years old at the time of the hearing. Plaintiff went to school through the eleventh grade. Tr. 928. Plaintiff has past relevant work experience as a caregiver and nurse's aid. Tr. 20.
Plaintiff alleges disability due to attention-deficit disorder (ADD), anxiety disorder, borderline personality disorder, major depression, posttraumatic stress disorder (PTSD), panic disorder, and lumbar degenerative disc disease. Tr. 12.
Except when noted, Plaintiff does not challenge the ALJ's summary of the medical evidence. After carefully reviewing the medical records, this Court adopts the ALJ's summary of the medical evidence. See Tr. 15-19.
STANDARDS
The initial burden of proof rests on the claimant to establish disability. Molina v. Astrue, 674 F.3d 1104, 1110 (9th Cir. 2012). To meet this burden, a claimant must demonstrate her inability "to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which ... has lasted or can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. § 423(d)(1)(A). The ALJ must develop the record when there is ambiguous evidence or when the record is inadequate to allow for proper evaluation of the evidence. McLeod v. Astrue, 640 F.3d 881, 885 (9th Cir.2011)(quoting Mayes v. Massanari, 276 F.3d 453, 459-60 (9th Cir. 2001)).
The district court must affirm the Commissioner's decision if it is based on proper legal standards and the findings are supported by substantial evidence in the record as a whole. 42 U.S.C. § 405(g). See also Brewes v. Comm'r of Soc. Sec. Admin., 682 F.3d 1157, 1161 (9th Cir.2012). Substantial evidence is "relevant evidence that a reasonable mind might accept as adequate to support a conclusion." Molina, 674 F.3d at 1110-11 (quoting Valentine v. Comm'r Soc. Sec. Admin., 574 F.3d 685, 690 (9th Cir.2009)). It is more than a mere scintilla [of evidence] but less than a preponderance. Id. (citing Valentine, 574 F.3d at 690).
The ALJ is responsible for determining credibility, resolving conflicts in the medical evidence, and resolving ambiguities. Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir.2009). The court must weigh all of the evidence whether it supports or detracts from the Commissioner's decision. Ryan v. Comm'r of Soc. Sec., 528 F.3d 1194, 1198 (9th Cir.2008). Even when the evidence is susceptible to more than one rational interpretation, the court must uphold the Commissioner's findings if they are supported by inferences reasonably drawn from the record. Ludwig v. Astrue, 681 F.3d 1047, 1051 (9th Cir.2012). The court may not substitute its judgment for that of the Commissioner. Widmark v. Barnhart, 454 F.3d 1063, 1070 (9th Cir. 2006).
DISABILITY ANALYSIS
I. The Regulatory Sequential Evaluation
At Step One the claimant is not disabled if the Commissioner determines the claimant is engaged in substantial gainful activity. 20 C.F.R. §§ 404.1520(a)(4)(I), 416.920(a)(4)(I). See also Keyser v. Comm'r of Soc. Sec., 648 F.3d 721, 724 (9th Cir. 2011).
At Step Two the claimant is not disabled if the Commissioner determines the claimant does not have any medically severe impairments or combination of impairments. 20 C.F.R. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). See also Keyser, 648 F.3d at 724.
At Step Three the claimant is disabled if the Commissioner determines the claimant's impairments meet or equal one of the listed impairments that the Commissioner acknowledges are so severe as to preclude substantial gainful activity. 20 C.F.R. §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii). See also Keyser, 648 F.3d at 724. The criteria for the listed impairments, known as Listings, are enumerated in 20 C.F.R. part 404, subpart P, appendix 1 (Listed Impairments).
If the Commissioner proceeds beyond Step Three, she must assess the claimant's residual functional capacity (RFC). The claimant's RFC is an assessment of the sustained, work-related physical and mental activities the claimant can still do on a regular and continuing basis despite her limitations. 20 C.F.R. §§ 404.1520(e), 416.920(e). See also Social Security Ruling (SSR) 96-8p. "A `regular and continuing basis' means 8 hours a day, for 5 days a week, or an equivalent schedule." SSR 96-8p, at *1. In other words, the Social Security Act does not require complete incapacity to be disabled. Taylor v. Comm'r of Soc. Sec. Admin., 659 F.3d 1228, 1234-35 (9th Cir.2011)(citing Fair v. Bowen, 885 F.2d 597, 603 (9th Cir.1989)).
At Step Four the claimant is not disabled if the Commissioner determines the claimant retains the RFC to perform work she has done in the past. 20 C.F.R. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). See also Keyser, 648 F.3d at 724.
If the Commissioner reaches Step Five, she must determine whether the claimant is able to do any other work that exists in the national economy. 20 C.F.R. §§ 404.1520(a)(4)(v), 416.920(a)(4)(v). See also Keyser, 648 F.3d at 724-25. Here the burden shifts to the Commissioner to show a significant number of jobs exist in the national economy that the claimant can perform. Lockwood v. Comm'r Soc. Sec. Admin., 616 F.3d 1068, 1071 (9th Cir. 2010). The Commissioner may satisfy this burden through the testimony of a VE or by reference to the Medical-Vocational Guidelines set forth in the regulations at 20 C.F.R. part 404, subpart P, appendix 2. If the Commissioner meets this burden, the claimant is not disabled. 20 C.F.R. §§ 404.1520(g)(1), 416.920(g)(1).
ALJ'S FINDINGS
At Step One the ALJ found Plaintiff had not engaged in substantial gainful activity since her June 3, 2007, alleged onset date. Tr. 12.
At Step Two the ALJ found Plaintiff has the severe impairments of attention-deficit disorder (ADD), anxiety disorder, borderline personality disorder, major depression, posttraumatic stress disorder (PTSD), panic disorder, lumbar degenerative disc disease, a history of endometriosis, and a history of alcohol and substance abuse. Tr. 12. The ALJ found Plaintiff's bursitis, degenerative disc disease of the cervical spine, carpal-tunnel syndrome, and stroke to be "non-medically determinable impairment[s]." Tr. 13.
At Step Three the ALJ concluded Plaintiff's medically determinable impairments do did not meet or medically equal one of the listed impairments in 20 C.F.R. part 404, subpart P, appendix 1. Tr. 13. The ALJ found Plaintiff has the RFC to perform "medium less than a full range of work." Tr. 14. The ALJ found Plaintiff can occasionally stoop, kneel, crouch, crawl, and climb. Tr. 14. The ALJ also found Plaintiff can "perform simple, repetitive, routine tasks requiring no more than occasional interaction with supervisors, co-workers, and the general public." Tr. 14.
At Step Four the ALJ concluded Plaintiff could not perform her past relevant work. Tr. 20.
At Step Five the ALJ found Plaintiff could perform jobs that exist in significant numbers in the national economy. Tr. 21. Accordingly, the ALJ found Plaintiff is not disabled.
DISCUSSION
Plaintiff contends the ALJ erred when he (1) improperly rejected the opinion of examining psychologist Ryan Scott, Ph.D.,2 and (2) found at Step Five that Plaintiff could do other jobs that exist in the national economy.
In her Motion to Remand the Commissioner concedes the ALJ erred at Step Five when he found Plaintiff is limited to work involving simple one- or two-step work instructions but concluded, nevertheless, Plaintiff could perform work that exists in the national economy that requires Reasoning Level 2. The Commissioner moves the Court to remand this matter for further proceedings on that issue.
I. The ALJ erred when he rejected Dr. Scott's opinion and failed to address Dr. Truhn's opinion.
An ALJ may reject an examining or treating physician's opinion when it is inconsistent with the opinions of other treating or examining physicians if the ALJ makes "findings setting forth specific, legitimate reasons for doing so that are based on substantial evidence in the record." Thomas v. Barnhart, 278 F.3d 947, 957 (9th Cir.2002) (quoting Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir.1989)). When the medical opinion of an examining or treating physician is uncontroverted, however, the ALJ must give "clear and convincing reasons" for rejecting it. Thomas, 278 F.3d at 957. See also Lester v. Chater, 81 F.3d 821, 830-32 (9th Cir.1995).
A. Dr. Scott
On April 1, 2013, Dr. Scott conducted a comprehensive psychological evaluation of Plaintiff. Dr. Scott noted "there were some validity concerns in regards to [Plaintiff's MMPI] evaluation," but Plaintiff's possible "over reporting" may indicate "significant or multiple medical conditions." Tr. 929. Dr. Scott also noted Plaintiff's responses to the Personality Assessment Inventory (PAI) "suggested that she may have endorsed items that presented an unfavorable impression though this was still a valid administration." Tr. 930. Dr. Scott found Plaintiff's "general cognitive ability is within the average range," and her ability "to sustain attention, concentrate, and exert mental control is in the average range." Tr. 931, 932. Dr. Scott, however, also noted Plaintiff "appear[s] to have substantial mental health issues" including a major depressive disorder, PTSD, a panic disorder, and a borderline personality disorder. Tr. 932-33. Dr. Scott opined Plaintiff
would likely have marked impairment in social interaction, particularly the ability to interact appropriately with the general public, respond to criticism appropriately from supervisors and get along with coworkers or peers without distracting them with behavioral extremes. She also would have marked difficulties in working in coordination with others or in proximity with others without being distracted by them and it would also likely interfere with her ability to complete a normal work day and work week without interruptions from psychologically based symptoms. Her mental health issues also would likely cause marked impairment in understanding and remembering detailed instructions and the ability to carry out these detailed Instructions. She would also likely have moderate limitations in remembering work-like procedures and remembering short and simple instructions as wall as carrying out these short and simple instructions. She would also have moderate impairment in performing activities within a schedule. She noted that she has significant difficulty in leaving the house to get to places and will avoid leaving the house. She would also likely have marked limitations in traveling to unfamiliar places or using public transportation.
Tr. 933.
The ALJ rejected Dr. Scott's opinion on the grounds that Dr. Scott expressed possible concerns about the validity of the MMPI, Dr. Scott only met with Plaintiff one time, and Plaintiff's activities of daily living "do not support the degree of limitation suggested in Dr. Scott's report." Tr. 20.
The record, however, reflects although Dr. Scott expressed "validity concerns" related to Plaintiff's MMPI, he also noted responses such as those given by Plaintiff "may occur in individuals with genuine severe psychological difficulties." Tr. 929. As noted, Dr. Scott indicated Plaintiff's responses to the PAI "suggested that she may have endorsed items that presented an unfavorable impression," but Dr. Scott also concluded it was "still a valid administration" of that test.
In addition, the record reflects Dr. Scott's opinion is not contradicted by any other treating or examining medical source. In fact, Dr. Scott's opinion appears to be endorsed by Plaintiff's other examining medical professionals. For example, after conducting a Comprehensive Psychological Evaluation of Plaintiff in February 2010, Robert Basham, Pd.D., opined Plaintiff suffered from PTSD, a panic disorder, and a borderline personality disorder. He assessed Plaintiff with a GAF of 45.3 Dr. Basham noted Plaintiff
was having marked difficulties with basic emotional and psychological stability on the day of her evaluation. She gave the impression that she has had similar problems for years, and she may have had them her whole life, given the instability of her childhood family environment.... She is experiencing relatively serious psychological symptoms and must stabilize before she is ready to have the children returned.
Tr. 473.
Similarly, on March 15, 2013, Stephen Schepergerdes, M.D., Plaintiff's treating physician, opined Plaintiff would not be able to sustain "a simple routine, low stress sedentary job" because she cannot
effectively deal with the public, or stress, or detailed instructions. She could not take criticism well. She [is] hypersensitive to pain in spite of medication use — the medication would further limit her ability to sustain alertness and attention to detail. She would have excessive work absences.
Tr. 920.
In addition, on February 7, 2011, Dr. Truhn, examining psychologist, opined "[t]here is a strong probability that [Plaintiff] may consistently experience an unstable affect and interpersonal problems and present with numerous crisis situations." Tr. 483.
On this record the Court concludes the ALJ erred when he failed to provide legally sufficient reasons supported by substantial evidence in the record for rejecting Dr. Scott's opinion.
B. Dr. Truhn
On August 18, 2010, Dr. Truhn conducted a psychological examination of Plaintiff. Although this examination is referred to in the record, Dr. Truhn's report of that examination is not in the record. On February 7, 2011, Dr. Truhn submitted an Addendum to Evaluation to the Oregon Department of Human Services addressing whether there were any changes or additions to his August 2010 diagnosis of Plaintiff. In his February 2011 Addendum Dr. Truhn "dropped" the diagnosis of attention-deficit hyperactivity disorder (ADHD). Dr. Truhn opined Plaintiff suffers from a pain disorder and a borderline personality disorder. Tr. 483. Dr. Truhn noted "[t]here is a strong probability that [Plaintiff] may consistently experience an unstable affect and interpersonal problems and present with numerous crisis situations." Tr. 483. Finally, Dr. Truhn noted
[s]upportive services from a day treatment program or an apartment program may be helpful in aligning her with a supportive therapist who is able to monitor her use of prescription medication, as well as monitor her suicidal thoughts and actions and to provide consistent therapeutic contact.
Tr. 484.
The ALJ did not mention or evaluate Dr. Truhn's February 2011 opinion, and the Court cannot conclude from this record that the ALJ's failure was harmless error. Dr. Truhn's opinion appears to support Dr. Scott's opinion that Plaintiff is unable to function in a competitive work situation consistently or in an ongoing manner. In fact, Dr. Scott states in his opinion that he reviewed Dr. Truhn's August 2010 report and February 2011 Addendum when forming his opinion.
On this record the Court concludes the ALJ erred when he failed to address Dr. Truhn's February 2011 opinion.
II. The ALJ erred at Step Five.
At Step Five the ALJ found Plaintiff could perform other work that exists in the national economy as an electronics worker, bench assembler, or assembler of electronic accessories. Pursuant to the Dictionary of Occupational Titles (DOT), all of those jobs require Reasoning Level 2. U.S. Dep't of Labor, Dictionary of Occupational Titles App. C (4th ed. 1991). The DOT defines Reasoning Level 2 as the ability to "apply commonsense understanding to carry out detailed but uninvolved written or oral instructions. Deal with problems involving a few concrete variable in or from standardized situations." Id.
The ALJ, however, found Plaintiff has the RFC to perform only "simple, repetitive, routine tasks." Tr. 14. Plaintiff asserts the ALJ's finding is consistent with jobs that only require Reasoning Level 1, which is defined as the ability to "[a]pply commonsense understanding to carry out simple one- or two-step instructions. Deal with standardized situations with occasional or no variables in or from these situations encountered on the job." U.S. Dep't of Labor, Dictionary of Occupational Titles App. C (4th ed. 1991). According to Plaintiff, therefore, the ALJ erred when he found Plaintiff could perform work as an electronics worker, bench assembler, or assembler of electronic accessories.
Defendant concedes "the ALJ erred in articulating [as] a basis for his finding" that Plaintiff is limited to simple, repetitive routine tasks. Although Defendant notes the ALJ appears to have adopted the opinion of reviewing psychologist Dorothy Anderson, Ph.D., who opined Plaintiff is able to remember and to understand "short simple 1-2 step work instructions but not more detailed" instructions, Defendant also notes Dr. Anderson stated elsewhere in her opinion that Plaintiff could carry out "short and simple instructions" and "make simple decisions." Tr. 134-35. Dr. Anderson concluded in that same opinion that Plaintiff was "limited to simple repetitive work tasks." Tr. 136. According to Defendant, therefore, clarification is needed as to whether Plaintiff is limited to simple, routine tasks or to one- or two-step tasks.
Plaintiff asserts the ALJ also erred at Step Five when he failed to ask the VE whether light-level jobs existed in the national economy that required only occasional interaction with supervisors. In his assessment of Plaintiff's RFC the ALJ specifically found Plaintiff was limited to jobs involving "no more than occasional interaction with supervisors, co-workers, and the general public." Tr. 14. At the hearing the ALJ posed a hypothetical to the VE that included the limitation related to occasional interaction with supervisors, co-workers, and the general public, and he inquired whether any medium work existed that Plaintiff could perform. Tr. 67. The VE stated there were not any medium-level jobs that would be available to an individual with those limitations. The ALJ then asked the VE whether any light-level jobs existed that were consistent with the hypothetical. The VE responded: "Let me just double check at the light [level]. I believe that there's some light duty jobs that have limited, occasional contact with coworkers and the public." Tr. 68. The VE, however, did not refer to the limitations in the ALJ's hypothetical restricting Plaintiff to "no more than occasional interaction with supervisors." When the VE identified three light-level jobs, he reduced the number of those jobs existing in the national and regional economies by 25 percent to reflect the limitation of "limited public contact," but he did not make any mention of nor appear to take into consideration only occasional interaction with supervisors. Tr. 69. Thus, the record is not clear as to whether the VE addressed Plaintiff's limitation to only occasional interaction with co-workers.
On this record the Court concludes the ALJ erred at Step Five when he concluded Plaintiff could perform the three jobs identified by the VE.
III. This matter is remanded for the immediate calculation and award of benefits.
The decision whether to remand for further proceedings or for immediate payment of benefits generally turns on the likely utility of further proceedings. Harman v. Apfel, 211 F.3d 1172, 1179 (9th Cir.2000). When "the record has been fully developed and further administrative proceedings would serve no useful purpose, the district court should remand for an immediate award of benefits." Benecke v. Barnhart, 379 F.3d 587, 593 (9th Cir.2004).
The decision whether to remand this case for further proceedings or for the payment of benefits is a decision within the discretion of the court. Harman, 211 F.3d at 1178.
The decision whether to remand for further proceedings or for immediate payment of benefits generally turns on the likely utility of further proceedings. Id. at 1179. The court may "direct an award of benefits where the record has been fully developed and where further administrative proceedings would serve no useful purpose." Smolen v. Chater, 80 F.3d 1273, 1292 (9th Cir.1996).
The Ninth Circuit has established a three-part test "for determining when evidence should be credited and an immediate award of benefits directed." Harman, 211 F.3d at 1178. The Court should grant an immediate award of benefits when:
(1) the ALJ has failed to provide legally sufficient reasons for rejecting ... evidence, (2) there are no outstanding issues that must be resolved before a determination of disability can be made, and (3) it is clear from the record that the ALJ would be required to find the claimant disabled were such evidence credited.
Id. The second and third prongs of the test often merge into a single question: Whether the ALJ would have to award benefits if the case were remanded for further proceedings. Id. at 1178 n. 2.
The Court has determined the ALJ erred when he improperly rejected the opinion of Dr. Scott and failed to address Dr. Truhn's opinion. Those opinions are not contradicted by the opinions of other treating or examining physicians, and the record has been fully developed.
After giving the opinions of Drs. Scott and Truhn the weight required by law, the Court concludes Plaintiff cannot work on a regular and continuing basis and, therefore, is disabled. See 20 C.F.R. §§ 404.1545(b), 416.945(b)(RFC is ability to work on "regular and continuing basis"). See also SSR 96-8p ("regular and continuing basis" is "8 hours a day, for 5 days a week, or an equivalent work schedule"). The Court, therefore, concludes this matter should not be remanded for further proceedings. See Schneider v. Comm'r, 223 F.3d 968 (9th Cir.2000). See also Reddick v. Chater, 157 F.3d 715, 729 (9th Cir.1998) ("We do not remand this case for further proceedings because it is clear from the administrative record that Claimant is entitled to benefits."); Rodriguez v. Bowen, 876 F.2d 759, 763 (9th Cir.1989)(if remand for further proceedings would only delay the receipt of benefits, judgment for the claimant is appropriate).
Accordingly, the Court remands this matter for the immediate calculation and award of benefits to Plaintiff.
CONCLUSION
For these reasons, the Court REVERSES the decision of the Commissioner, DENIES the Commissioner's Motion (# 14) to Remand for further administrative proceedings, and REMANDS this matter pursuant to sentence four of 42 U.S.C. § 405(g) for the immediate calculation and award of benefits.
IT IS SO ORDERED.
