ROBERT H. WHALEY, Senior District Judge.
Before the Court are the parties' cross-motions for summary judgment, ECF Nos. 13 & 14. Plaintiff Karen Dalene Marchand 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 Titles II and 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 forth below, the Court
Ms. Marchand filed her applications for disability and disability insurance benefits on December 15, 2011. AR 235-36. Her alleged onset date is March 1, 2010. AR 235. Her application was initially denied on March 27, 2012, AR 72-101, and on reconsideration on June 12, 2012, AR 102-129.
Administrative Law Judge ("ALJ") Lori L. Freund held a hearing on December 11, 2013. AR 32-71. On October 22, 2014, the ALJ issued a decision finding Ms. Marchand ineligible for disability benefits. AR 11-25. The Appeals Council denied Ms. Marchand's request for review on January 19, 2016, AR 1-3, making the ALJ's ruling the "final decision" of the Commissioner.
Ms. Marchand timely filed the present action challenging the denial of benefits on May 16, 2016. ECF No. 3. Accordingly, Ms. Marchand's claims are properly before this Court pursuant to 42 U.S.C. § 405(g).
The Social Security Act defines disability as the "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve months." 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). A claimant shall be determined to be under a disability only if the claimant's impairments are of such severity that the claimant is not only unable to do his previous work, but cannot, considering claimant's age, education, and work experience, engage in any other substantial gainful work that exists in the national economy. 42 U.S.C. §§ 423(d)(2)(A) & 1382c(a)(3)(B).
The Commissioner has established a five-step sequential evaluation process for determining whether a claimant is disabled within the meaning of the Social Security Act. 20 C.F.R. §§ 404.1520(a)(4) & 416.920(a)(4); Lounsburry v. Barnhart, 468 F.3d 1111, 1114 (9th Cir. 2006).
Step one inquires whether the claimant is presently engaged in "substantial gainful activity." 20 C.F.R. §§ 404.1520(b) & 416.920(b). Substantial gainful activity is defined as significant physical or mental activities done or usually done for profit. 20 C.F.R. §§ 404.1572 & 416.972. If the claimant is engaged in substantial activity, he or she is not entitled to disability benefits. 20 C.F.R. §§ 404.1571 & 416.920(b). If not, the ALJ proceeds to step two.
Step two asks whether the claimant has a severe impairment, or combination of impairments, that significantly limits the claimant's physical or mental ability to do basic work activities. 20 C.F.R. §§ 404.1520(c) & 416.920(c). A severe impairment is one that has lasted or is expected to last for at least twelve months, and must be proven by objective medical evidence. 20 C.F.R. §§ 404.1508-09 & 416.908-09. If the claimant does not have a severe impairment, or combination of impairments, the disability claim is denied, and no further evaluative steps are required. Otherwise, the evaluation proceeds to the third step.
Step three involves a determination of whether any of the claimant's severe impairments "meets or equals" one of the listed impairments acknowledged by the Commissioner to be sufficiently severe as to preclude substantial gainful activity. 20 C.F.R. §§ 404.1520(d), 404.1525, 404.1526 & 416.920(d), 416.925, 416.926; 20 C.F.R. § 404 Subpt. P. App. 1 ("the Listings"). If the impairment meets or equals one of the listed impairments, the claimant is per se disabled and qualifies for benefits. Id. If the claimant is not per se disabled, the evaluation proceeds to the fourth step.
Step four examines whether the claimant's residual functional capacity enables the claimant to perform past relevant work. 20 C.F.R. §§ 404.1520(e)-(f) & 416.920(e)-(f). If the claimant can still perform past relevant work, the claimant is not entitled to disability benefits and the inquiry ends. Id.
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 claimant's age, education, and work experience. See 20 C.F.R. §§ 404.1512(f), 404.1520(g), 404.1560(c) & 416.912(f), 416.920(g), 416.960(c). To meet this burden, the Commissioner must establish that (1) the claimant is capable of performing other work; and (2) such work exists in "significant numbers in the national economy." 20 C.F.R. §§ 404.1560(c)(2); 416.960(c)(2); Beltran v. Astrue, 676 F.3d 1203, 1206 (9th Cir. 2012).
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 Commissioner's decision will be disturbed "only if it is not supported by substantial evidence or is based on legal error." Hill v. Astrue, 698 F.3d 1144, 1158-59 (9th Cir. 2012) (citing § 405(g)). Substantial evidence means "more than a mere scintilla but less than a preponderance; it is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Sandgathe v. Chater, 108 F.3d 978, 980 (9th Cir.1997) (quoting Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995)) (internal quotation marks omitted). In determining whether the Commissioner's findings are supported by substantial evidence, "a reviewing court must consider the entire record as a whole and may not affirm simply by isolating a specific quantum of supporting evidence." Robbins v. Soc. Sec. Admin., 466 F.3d 880, 882 (9th Cir. 2006) (quoting Hammock v. Bowen, 879 F.2d 498, 501 (9th Cir. 1989)).
In reviewing a denial of benefits, a district court may not substitute its judgment for that of the ALJ. Matney v. Sullivan, 981 F.2d 1016, 1019 (9th Cir. 1992). If the evidence in the record "is susceptible to more than one rational interpretation, [the court] must uphold the ALJ's findings if they are supported by inferences reasonably drawn from the record." Molina v. Astrue, 674 F.3d 1104, 1111 (9th Cir. 2012); see also Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002) (if the "evidence is susceptible to more than one rational interpretation, one of which supports the ALJ's decision, the conclusion must be upheld"). Moreover, a district court "may not reverse an ALJ's decision on account of an error that is harmless." Molina, 674 F.3d at 1111. An error is harmless "where it is inconsequential to the [ALJ's] ultimate nondisability determination." Id. at 1115. The burden of showing that an error is harmful generally falls upon the party appealing the ALJ's decision. Shinseki v. Sanders, 556 U.S. 396, 409-10 (2009).
Karen Marchand was born in 1962 and has at least a high school education. AR 23. She has previous work experience as a receptionist, construction worker, teacher aide, farm worker, cashier, and janitor. Id.
Ms. Marchand alleges numerous physical and mental impairments, including obesity, depression, hypothyroidism, pain disorder, and schizoid personality disorder. ECF No. 13 at 3. She states that her mental impairments began shortly after an incident in April 2009 involving police officers. Id.
The ALJ determined that Ms. Marchand was not under a disability within the meaning of the Act from March 1, 2010, through the date of the decision. AR 25.
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The ALJ determined that Ms. Marchand could not perform her past relevant work as a receptionist, construction worker, teacher aide, farm worker, cashier, and janitor. AR 23.
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Ms. Marchand argues that the Commissioner's decision is not free of legal error and not supported by substantial evidence. Specifically, she argues the ALJ erred by: (1) improperly rejecting the opinions of Ms. Marchand's examining providers Drs. Catherine MacLennan, Ph.D., and Stephen Rubin, Ph.D.; (2) improperly rejecting Ms. Marchand's subjective complaints; and (3) failing to conduct an adequate step five analysis. ECF No. 13 at 7.
The Ninth Circuit has distinguished between three classes of medical providers in defining the weight to be given to their opinions: (1) treating providers, those who actually treat the claimant; (2) examining providers, those who examine but do not treat the claimant; and (3) non-examining providers, those who neither treat nor examine the claimant. Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1996) (as amended).
A treating provider's opinion is given the most weight, followed by an examining provider, and finally a non-examining provider. Id. at 830-31. In the absence of a contrary opinion, a treating or examining provider's opinion may not be rejected unless "clear and convincing" reasons are provided. Id. at 830. If a treating or examining provider's opinion is contradicted, it may only be discounted for "specific and legitimate reasons that are supported by substantial evidence in the record." Id. at 830-31.
The ALJ may meet the specific and legitimate standard by "setting out a detailed and thorough summary of the facts and conflicting clinical evidence, stating his interpretation thereof, and making findings." Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989) (internal citation omitted). When rejecting a treating provider's opinion on a psychological impairment, the ALJ must offer more than his or her own conclusions and explain why he or she, as opposed to the provider, is correct. Embrey v. Bowen, 849 F.2d 418, 421-22 (9th Cir. 1988).
Dr. MacLennan evaluated Ms. Marchand in May 2013. AR 564-596. At the evaluation, Dr. MacLennan performed multiple psychological tests. AR 570-73. Cognitive testing demonstrated that Ms. Marchand's cognitive abilities were in the borderline to low average range, her memory skills were in the low average to average range, and her intelligence was within the expected range with a weakness in basic math abilities. AR 570-71. Personality testing was less reliable, however, as Dr. MacLennan noted responses outside of the normal range, "suggesting that she may not have answered in a completely forthright manner." AR 571. Dr. MacLennan also noted significant issues with hostility. AR 572.
Dr. MacLennan described alternating periods of anger, tears, and laughter throughout their visit. AR 567. Dr. MacLennan also noted "hyperverbal" speech that was "fast paced, high pitched, and difficult to understand" that alternated with normal volume, pace, and fluency. AR 568. Dr. MacLennan found Ms. Marchand's thinking to be nonlinear. Id. Dr. MacLennan opined there were likely multiple diagnoses, including major depressive disorder, pain disorder with medical factors and psychological factors, and schizoid personality disorder. AR 574-75.
Dr. MacLennan also discussed "indications of malingering or factitious behavior other than some possible overreporting of symptoms and problems on the PAI." AR 575. She did not further discuss this finding, but it strongly influenced the ALJ. ALJ Freund gave significant weight generally to the objective findings of Dr. MacLennan, but she did not credit the conclusions reached because they were based possibly on malingering behavior. AR 22.
An ALJ may properly discredit a doctor's opinion if it is contradicted by objective evidence or other findings. See Bayliss v. Barnhart, 427 F.3d 1211, 1216 (finding that it is a clear and convincing reason to reject a doctor's opinion when it was contradicted by doctor's own observations and opinions). Dr. MacLennan does not account for how her own recorded observations of malingering and overreporting in her findings. The Court finds no error in ALJ Freund's decision to accept only Dr. MacLennan's objective findings and not those that are internally inconsistent or otherwise unreliable.
After Ms. Marchand's hearing, ALJ Freund provided interrogatories to Dr. Rubin, who reviewed the full record through Exhibit 20F and provided a medical opinion based on this review. AR 22, 916-28. Dr. Rubin opined that Ms. Marchand would have mild difficulties understanding and remembering complex instructions, mild difficulties carrying out complex instructions, moderate difficulties making judgments on complex work-related decisions, moderate difficulties in maintaining social function, and mild difficulties in maintaining concentration, persistence, or pace. AR 921, 925. ALJ Freund assigned significant weight to Dr. Rubin's opinion because she found it to be consistent with the record, which he had the ability to review nearly in its entirety. AR 22.
Ms. Marchand alleges that the ALJ erred by "ignor[ing] important limitations imposed by Dr. Rubin." ECF No. 13 at 12. Specifically, Ms. Marchand points to difficulties with supervisors and a general history of failing at some tasks. Id.
To the contrary, the ALJ provided numerous restrictions within the residual functional capacity that reflects the mental limitations set forth by Dr. Rubin. Ms. Marchand was limited to simple, routine, and repetitive tasks, which accommodates for Dr. Rubin's proposed limitations regarding complex tasks and Ms. Marchand's difficulties with concentration, persistence, and pace. See Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1175 (9th Cir. 2008) (finding that limitations to simple tasks could account for even moderate limitations in concentration, persistence, and pace). She was further prohibited from production-rate or quotabased work, which would avoid issues with complex tasks and pace. With regard to her struggles with supervisors, the ALJ limited Ms. Marchand to only superficial contact with co-workers and supervisors and a bar on tandem tasks. AR 19. These limitations within the residual functional capacity sufficiently account for the limitations proposed by Dr. Rubin and align with his opinion. The Court finds no error.
An ALJ engages in a two-step analysis to determine whether a claimant's testimony regarding subjective symptoms is credible. Tommasetti, 533 F.3d at 1039. First, the claimant must produce objective medical evidence of an underlying impairment or impairments that could reasonably be expected to produce some degree of the symptoms alleged. Id. Second, if the claimant meets this threshold, and there is no affirmative evidence suggesting malingering, "the ALJ can reject the claimant's testimony about the severity of [his] symptoms only by offering specific, clear, and convincing reasons for doing so." Id.
In this case, there is affirmative evidence suggesting malingering. Dr. MacLennan described overreporting and factitious behavior by Ms. Marchand in her report. AR 575. Dr. Rubin also noted a great deal of "controversy" in Ms. Marchand's record and that "[a]t times, [Ms. Marchand] seems to exaggerate her symptomatology and has been quite diligent in seeking out professionals to work with or help her." AR 919. This affirmative evidence alone is sufficient to support a negative credibility determination. See Smolen v. Chater, 80 F.3d 1273, 1283-84 (9th Cir. 1996) (finding of either affirmative evidence of malingering or clear and convincing reasons may support a rejection of a claimant's testimony).
Moreover, the ALJ also provided clear and convincing reasons for discrediting Ms. Marchand's testimony in addition to the evidence of malingering. In weighing a claimant's credibility, the ALJ may consider many factors, including, "(1) ordinary techniques of credibility evaluation, such as the claimant's reputation for lying, prior inconsistent statements concerning the symptoms, and other testimony by the claimant that appears less than candid; (2) unexplained or inadequately explained failure to seek treatment or to follow a prescribed course of treatment; and (3) the claimant's daily activities." Smolen, 80 F.3d at 1284. ALJ Freund pointed to numerous activities that did not support the level of impairment claimed, including social interactions, job interviews, shopping, bicycle rides, the ability to maintain a 3.0 grade point average in her last semester and, most significantly, Ms. Marchand's completion of an associate's degree. AR 21-22. Further, the ALJ noted that the repeated efforts by Ms. Marchand to get a job, including applications and interviews, indicated that she believed herself capable of working, which is inconsistent with her asserted limitations. AR 21.
Because the ALJ provided both affirmative evidence of malingering and clear and convincing reasons regarding Ms. Marchand's credibility, the Court finds no error in the weight given to Ms. Marchand's subjective complaints.
Ms. Marchand attempts to reargue the same issues in her challenge to the ALJ's step five analysis. She asserts that the hypothetical posed to the vocational expert was incomplete because it failed to account for the limitations posed by Drs. MacLennan and Rubin and for the testimony by Ms. Marchand regarding her absenteeism. ECF No. 13 at 14-15. These issues have already been addressed and the Court has found no error. See supra at 9-15.
Having reviewed the record and the ALJ's findings, the Court finds the ALJ's decision is supported by substantial evidence and free of legal error. Accordingly,
3. The District Court Executive is directed to enter judgment in favor of Defendant.