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Robert Urban v. Andrew Saul, 18-15891 (2020)

Court: Court of Appeals for the Ninth Circuit Number: 18-15891 Visitors: 5
Filed: Apr. 16, 2020
Latest Update: Apr. 16, 2020
Summary: NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS APR 16 2020 MOLLY C. DWYER, CLERK U.S. COURT OF APPEALS FOR THE NINTH CIRCUIT ROBERT WILLIAM URBAN, No. 18-15891 Plaintiff-Appellant, D.C. No. 2:16-cv-03545-SPL v. MEMORANDUM* ANDREW M. SAUL, Commissioner of Social Security, Defendant-Appellee. Appeal from the United States District Court for the District of Arizona Steven P. Logan, District Judge, Presiding Submitted April 15, 2020** Before: LEAVY, TROTT, and SILVERMAN, Circuit Judges. Ro
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                           NOT FOR PUBLICATION                           FILED
                    UNITED STATES COURT OF APPEALS                        APR 16 2020
                                                                      MOLLY C. DWYER, CLERK
                                                                       U.S. COURT OF APPEALS
                           FOR THE NINTH CIRCUIT

ROBERT WILLIAM URBAN,                           No.    18-15891

                Plaintiff-Appellant,            D.C. No. 2:16-cv-03545-SPL

 v.
                                                MEMORANDUM*
ANDREW M. SAUL, Commissioner of
Social Security,

                Defendant-Appellee.

                   Appeal from the United States District Court
                            for the District of Arizona
                    Steven P. Logan, District Judge, Presiding

                            Submitted April 15, 2020**

Before:    LEAVY, TROTT, and SILVERMAN, Circuit Judges.

      Robert William Urban appeals the district court’s judgment affirming the

Commissioner of Social Security’s denial of his application for disability insurance

benefits under Title II and supplemental security income under Title XVI of the

Social Security Act. We have jurisdiction under 28 U.S.C. § 1291 and 42 U.S.C.


      *
             This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
      **
             The panel unanimously concludes this case is suitable for decision
without oral argument. See Fed. R. App. P. 34(a)(2).
§ 405(g). We review de novo, Attmore v. Colvin, 
827 F.3d 872
, 875 (9th Cir.

2016), and we reverse and remand for further proceedings.

      At Step Two, the ALJ erred in concluding that Urban’s mental impairment

was non-severe by relying on two isolated treatment notes from Urban’s treating

psychiatrist, Dr. Lauro Amezcua-Patino, indicating that Urban’s depression and

anxiety had somewhat improved. See Garrison v. Colvin, 
759 F.3d 995
, 1013–14

(9th Cir. 2014) (an ALJ errs if she considers isolated instances of improvement as

evidence that a claimant is not disabled).

      Though this type of error at Step Two is ordinarily harmless where the ALJ

otherwise proceeds with the sequential analysis, see Molina v. Astrue, 
674 F.3d 1104
, 1115 (9th Cir. 2012), the error was not harmless here, because in

determining Urban’s RFC, which identified no limitations stemming from Urban’s

mental impairment, the ALJ improperly discounted the opinions of three medical

providers, including two treating providers, who concluded that Urban’s severe

depression and anxiety impacted his ability to work. The ALJ failed to provide

specific and legitimate reasons for assigning “no great weight” to treating

psychiatrist Dr. Amezcua-Patino’s opinion. Trevizo v. Berryhill, 
871 F.3d 664
,

675 (9th Cir. 2017). The ALJ improperly cited to a single treatment note from

Urban’s February 2013 exam. But notes from the same exam date indicated that

Urban’s panic attacks were “still there all the time,” and that his mood was


                                             2                                 18-15891
“depressed.” Furthermore, this isolated notation of improvement did not reflect the

longitudinal records. See 
Garrison, 759 F.3d at 1013
–14.

      Additionally, the ALJ failed to provide germane reasons for assigning “no

significant weight” to the opinion of treating counselor Kristina Godinez. See

Molina, 674 F.3d at 1111
(citing Turner v. Comm’r of Soc. Sec., 
613 F.3d 1217
,

1224 (9th Cir. 2010)). The ALJ relied on only a single treatment note from June

2013, which reflected some improvement in Urban’s mood but did not indicate any

improvement in his panic attacks and anxiety. The ALJ therefore erred because

she failed to consider the whole of Godinez’s treatment notes, which consistently

indicated Urban’s depression and frequent panic attacks, and failed to consider

these notes in the context of the medical record as a whole. See 
Garrison, 759 F.3d at 1013
–14.

      The ALJ failed to provide specific and legitimate reasons for assigning “no

significant weight” to examining psychiatrist Dr. Brent Geary’s findings. The

ALJ’s three purported reasons were erroneous because Dr. Geary’s reliance on

Urban’s self-reporting was in the form a clinical interview, which is an acceptable

objective measure, and Dr. Geary also conducted a mental status evaluation and

psychological testing. See Buck v. Berryhill, 
869 F.3d 1040
, 1049 (9th Cir. 2017)

(clinical interviews are objective measures and “cannot be discounted” as self-

reports). Additionally, the ALJ failed to explain how Dr. Geary’s findings from


                                         3                                   18-15891
two cognitive tests contradicted the other findings regarding Urban’s depression

and anxiety, including the results from Urban’s Beck Depression Inventory and the

MMPI-2 exams that Dr. Geary administered. See 
Garrison, 759 F.3d at 1013
.

Finally, the ALJ improperly relied on the fact that Urban’s counsel referred Urban

to Dr. Geary in connection with Urban’s claim for benefits rather than for

treatment. See Reddick v. Chater, 
157 F.3d 715
, 726 (9th Cir. 1998) (“[T]he mere

fact that a medical report is provided at the request of counsel . . . is not a

legitimate basis for evaluating the reliability of the report.”).

      The ALJ failed to give specific, clear, and convincing reasons for

discounting Urban’s testimony that he suffered from extensive and debilitating

symptoms of depression and anxiety. First, the ALJ improperly relied on two

isolated treatment notes from Godinez and Dr. Amezcua-Patino indicating

improvement in Urban’s mental health symptoms. See 
Garrison, 759 F.3d at 1017
. Second, the ALJ improperly considered gaps in Urban’s treatment record

which were due to financial difficulties. See Orn v. Astrue, 
495 F.3d 625
, 638 (9th

Cir. 2007). Third, the ALJ provided no explanation for why she relied on Urban’s

2009 layoff, which occurred outside the relevant period and was therefore of

limited relevance. See Carmickle v. Comm’r, Soc. Sec. Admin., 
533 F.3d 1155
,

1165 (9th Cir. 2008).




                                            4                                     18-15891
      Finally, the ALJ failed to provide a clear and convincing reason for

discounting Urban’s credibility on the basis of his reported daily activities, which

were consistent with his testimony. See 
Orn, 495 F.3d at 639
. ALJ failed to

explain how Urban’s reported activities were inconsistent with Urban’s testimony

or his reports in the record because the cited pages in Urban’s function report do

not support the ALJ’s conclusion. Urban’s function report stated that Urban is

“uncomfortable with actual cooking,” needs help caring for his dogs, needs

encouragement to leave the house, cannot drive without “triggering panic attacks

and anxiety,” and only grocery shops “once or twice a month.” Urban’s function

report, on the same page cited by the ALJ, also stated that though his hobbies

include shooting, he no longer is able to do so due to vision problems, and that “his

depression seems to sap interest in persuing [sic] his interests.”

      Furthermore, the ALJ’s specific finding that Urban calls friends on the

phone is not a clear and convincing reason to discount his testimony and the

evidence in the record that Urban keeps to himself, has distanced himself from

family and friends, and does not socialize with friends in person. The ALJ failed

to explain why Urban’s ability to call friends on the phone is inconsistent with his

inability to leave the house to socialize. In sum, the ALJ erred by failing to

provide “specific, clear, and convincing reasons” for discounting Urban’s




                                           5                                     18-15891
testimony regarding the severity of his mental impairment symptoms. 
Molina, 674 F.3d at 1112
.

      We therefore remand this case to the district court with instructions to

remand to the agency for further proceedings regarding Urban’s mental

impairments. See Brown-Hunter v. Colvin, 
806 F.3d 487
, 496 (9th Cir. 2015)

(“Where there is conflicting evidence, and not all essential factual issues have been

resolved, a remand for an award of benefits is inappropriate.”) (quoting Treichler

v. Comm’r of Soc. Sec. Admin., 
775 F.3d 1090
, 1101 (9th Cir. 2014)).

      REVERSED AND REMANDED.




                                          6                                      18-15891

Source:  CourtListener

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