DOUGLAS F. McCORMICK, Magistrate Judge.
Plaintiff Tia Sharon Reed ("Reed") appeals from the final decision of the Administrative Law Judge ("ALJ") denying her application for disability insurance benefits and supplemental security income benefits. For the reasons stated below, the Commissioner's decision is affirmed.
Reed applied for supplemental security income and disability insurance benefits on April 28, 2009, alleging disability beginning June 30, 2008. Administrative Record ("AR") 257-62. The Commissioner denied Reed's claims on June 22, 2009 and denied them again on reconsideration on October 30, 2009. AR 152-62. Reed requested a hearing. AR 163. The ALJ held two hearings, one on September 27, 2010 and one on December 7, 2010.
At the first hearing, Reed testified that she had not worked since her parents fired her from a job at a church in June 2006 after they caught her reading
Reed testified that she had never used illegal drugs, other than when forced to. AR 99, 102. She acknowledged that the Riverside Department of Mental Health diagnosed her with cocaine abuse and hallucinogen abuse in February 2009; she claimed that she told the hospital staff that her abductors put ecstasy in her body, but they did not believe her. AR 103.
Reed testified that she did not know how she received a 100% service-connected rating from the Veterans Administration ("VA"). AR 95. A VA representative had called Reed on the telephone and stated that the VA would give her a sum of money each month. AR 96. Reed testified that these VA benefits pay for her rent and groceries. AR 99.
Reed stated that she was not comfortable leaving the house. AR 96. The last time she recalled receiving behavioral health treatment was on November 1, 2008, when she stayed overnight at a hospital in Riverside, California. AR 96, 102.
Reed testified that she used to be very intelligent and put her resume on Monster.com and CareerBuilders.com, but was unable to find work. AR 98. She stated that she felt that her right eye turns inward, she gets a migraine after looking at a computer screen for five minutes, and she can no longer read for more than five minutes. AR 98-99.
Reed testified that she joined the Navy after school (presumably high school,
Dr. David Glassmire, an independent medical expert and clinical psychologist, appeared at the hearing telephonically. AR 100. Reed told Dr. Glassmire that she did not remember the last time she received psychological treatment. AR 101. She recalled having a brain scan at the "VA" for brain damage, as well as an EKG and an MRI.
After Reed underwent psychological testing, the ALJ held a second hearing. Reed testified that she was uncomfortable leaving Riverside because she was only permitted to drive short distances. AR 119-20. She "has trouble" being driven places, but did not know why. AR 120. Reed testified that she was not receiving any counseling because she did not want to leave Riverside and the VA did not have a local doctor in Riverside available. AR 121-22. She acknowledged that someone could drive her to the VA hospital in San Bernardino. AR 122-23.
Reed recalled visiting a doctor for the October 2010 psychological exam that took place between the two hearings.
Reed again testified that she had never been a drug user and had only done drugs when compelled by her abductors or when she needed them to stay awake all night during her abduction. AR 126-27. Reed testified that after her parents fired her, she lost her house, her children went to stay with her mother, and she began "working in that bar and that's how [she] got taken to San Francisco." AR 127.
Reed recalled that a VA hospital gave her a prescription for anti-depressants. AR 128-29. Reed claimed that the medication has not helped because her depression is not inherited; she had her "head slammed on the ground and now [her] brain doesn't work." AR 129.
Reed testified that she took her two children back from her mother after her mother brought them over for a birthday celebration and Reed remembered that she was supposed to take care of them. AR 130-31. Reed claimed she never used cocaine, but then testified that when "Sean" first put her in a strip club, she did a line of cocaine when he told her it would help her be friendly; she then claimed that this was "after they already had control over [her]." AR 131. Reed testified that she took care of her children and cooked their meals.
Dr. Glassmire testified that based on her medical records, Reed had the medically determinable impairments of bipolar disorder, posttraumatic stress disorder, a personality disorder with borderline narcissistic histrionic traits, and cocaine and hallucinogen abuse. AR 132-33. He concluded that those conditions, either singly or in combination, did not rise to the level of the listings. AR 133. Dr. Glassmire concluded that in activities of daily living, Reed had mild difficulties. In social functioning, and concentration, persistence, or pace, she had moderate difficulties. As for episodes of decompensation, Reed had experienced one to two episodes of decompensation of extended duration. He would limit her to simple, repetitive tasks, no interaction with the public, no tasks requiring hypervigilance, no fast-paced work, and no safety responsibilities.
Dr. Glassmire then summarized the psychological evaluation performed by Dr. Mark Pierce at the ALJ's behest in October 2010. Reed reported to Dr. Pierce that she was able to dress, bathe, take care of household chores and cook, but did not shop or pay bills. AR 133. Her short-term memory was moderately efficient and she failed the malingering excessive memory test—in other words, the test showed that she was faking a poor memory. AR 134. There were indications that Reed was not making a valid effort in other tests.
A vocational expert ("VE") also testified. AR 140. Based on limitations posed by the ALJ (no exertional limits but limited to simple, repetitive tasks, no interaction with the public, no tasks requiring hypervigilance, no fast-paced work, and no safety responsibilities), the VE concluded that Reed could not perform any of her past work. AR 141-42. The ALJ asked the VE whether there were other occupations in the national economy she could perform. AR 142. At this point, Reed interrupted and said, "I make a good stripper."
Applying the five-step sequential evaluation process, the ALJ found at step two that Reed had the severe mental impairments of "bipolar disorder; post traumatic stress disorder; and a personality disorder, not otherwise specified, with borderline narcissistic traits." AR 74. At step three, the ALJ concluded that Reed did not have an impairment or combination of impairments that met or medically equaled one of the regulatory listed impairments, based on her failure to satisfy the "Paragraph B" or "Paragraph C" criteria. AR 74-75. The ALJ continued on in step three to find that Reed had the residual functional capacity ("RFC") to perform a full range of work at all exertional levels, with certain nonexertional limitations; the ALJ found that Reed's mental impairments "limit her to simple, repetitive tasks in a non-public work environment. She is precluded from tasks requiring . . . hypervigilance, fast-paced work, and responsibility for the safety of others."
The Joint Stipulation presents four issues: (1) whether the ALJ's failure to complete a Psychiatric Technique Review Form ("PTRF") requires a remand; (2) whether Reed's mental impairments, singly or in combination, met the criteria of the listings; (3) whether Reed's statements concerning the intensity, persistence, and limiting effects of her symptoms were credible; and (4) whether the ALJ's decision to decline to adopt the VA's 100% disability rating was warranted by the medical evidence. Joint Stipulation at 4-22.
Under 42 U.S.C. § 405(g), a district court may review the Commissioner's decision to deny benefits. The ALJ's findings and decision should be upheld if they are free from legal error and are supported by substantial evidence based on the record as a whole.
Reed argues that this matter must be remanded because the ALJ failed to document his evaluation of Reed's mental impairments with a PTRF. JS at 5-6, 10.
"In step two of the disability determination, an ALJ must determine whether the claimant has a medically severe impairment or combination of impairments."
At the initial and reconsideration levels of the administrative review process, this technique is documented in a PTRF. 20 C.F.R. §§ 404.1520a(e), 416.920a(e). At hearings before an ALJ, however, the Commissioner need only "document application of the technique in the decision."
At step two, the ALJ concluded that "[t]he claimant's impairments affect her more than minimally; thus, they are considered severe." AR 74. At step three, and in deciding whether Reed met the listing criteria, the ALJ wrote in relevant part:
AR 75. The ALJ then went on to make an RFC finding as a continuation of step three. AR 75-83. In that finding, the ALJ noted that Dr. Glassmire had attested to "mild difficulties in activities of daily living, moderate difficulties in social functioning, moderate difficulties in concentration, persistence, or pace, and one to two episodes of decompensation." AR 77.
Insofar as the regulations require the ALJ to identify and rate the degree of impairment of the four functional areas at step two, the ALJ arguably committed legal error by instead using the "technique" at step three. Any error is harmless, however, because (1) the ALJ concluded at step two that Reed's mental impairments were severe, and (2) the ALJ used the technique at step three.
Reed relies on an Eighth Circuit case,
Reed also argues that the ALJ incorrectly concluded that Reed did not have a medically determinable impairment. JS at 6. But in fact, the ALJ
Reed argues that the ALJ erred in finding that she did not meet or equal a listing because the ALJ "misinterpreted `paragraph B' criteria for the claimant's mental impairments." JS at 10.
In order to meet the requirements of listing 12.04 (affective disorders), 12.06 (anxiety related disorders), 12.08 (personality disorders), or 12.09 (substance addiction disorders), a claimant must satisfy the criteria in either paragraphs A and B or paragraph C of the listing.
In each listing, "paragraph A" lists specific symptoms, signs, and laboratory findings, which substantiate medically the presence of a particular mental disorder.
At step three, the ALJ wrote the following with respect to the "paragraph B" criteria:
AR 75.
Reed has not satisfied her burden of showing that her impairments met or equaled a listing.
The ALJ was "not required to discuss the combined effects of a claimant's impairments or compare them to any listing in an equivalency determination, unless [Reed presented] evidence in an effort to establish equivalence."
The ALJ made a justifiable adverse credibility finding, as explained further below. This credibility finding would have applied to Reed's claim that she was unable to drive or go anywhere without her children.
Accordingly, the Court finds that Reed has not demonstrated that the ALJ erred in finding that her impairments did not meet or equal a listing. Reversal on this claim of error is not warranted.
Reed argues that the ALJ improperly determined that Reed's statements concerning the intensity, persistence, and limiting effects of her symptoms were not credible. JS at 11-17.
To determine whether a claimant's testimony about subjective pain or symptoms is credible, an ALJ must engage in a two-step analysis.
If the claimant meets the first step and there is no affirmative evidence of malingering, the ALJ must provide specific, clear, and convincing reasons for discrediting a claimant's complaints.
Reed presented objective medical evidence of an underlying impairment that could reasonably have produced her alleged symptoms. However, there was affirmative evidence of malingering. The ALJ remarked on the fact that Reed had failed the malingering test in October 2010, and that she did not give a valid effort or gave a borderline valid effort on other tests. AR 77, 82, 515-17. Even if there had not been evidence of malingering, the ALJ provided specific, clear and convincing reasons for discrediting Reed's complaints, each of which is supported by substantial evidence in the record.
The ALJ noted that Reed testified at the hearing that her right eye would not hold still (AR 98-99), yet an eye exam in June 2009 showed that her vision was entirely normal except for 20/40 vision. AR 77, 466-71. "In weighing a claimant's credibility, the ALJ may consider [her] reputation for truthfulness, inconsistencies either in [her] testimony or between [her] testimony and . . . testimony from physicians and third parties concerning the nature, severity, and effect of the symptoms of which [she] complains."
The ALJ also noted Reed's "lackadaisical response to psychiatric treatment," despite her claims of severe psychiatric problems. AR 81. At the hearing, Reed attributed this response to paranoia about going to San Bernardino County—where the local VA Hospital is (AR 119-22)—but the ALJ noted that Reed had consistently missed appointments at her local county mental health clinic in Riverside. AR 79-80, 397 ("no-show" on December 30, 2008), 400 (on February 26, 2009, Riverside facility "called [Reed] to . . . determine why [she] missed her" appointments, and Reed claimed she had been visiting another clinic), 396 ("no-show" on March 11, 2009), 399 (April 21, 2009 notes state, "Discussed with [Reed] that she has missed several psychiatrist appts," to which Reed replied, "I was told to just walk-in for services."). The ALJ concluded that "the overall evidence of record shows that the claimant consults medical professionals only when it suits her purpose, such as her attempt to regain her driver's license [in September 2009]." AR 81. In this September 2009 visit, Reed went to the Loma Linda VA Hospital and requested assistance in retrieving her driver's license; Reed claimed that she had become upset at her boyfriend during an argument, and he had called the police and claimed that she had a seizure when she had just been dry heaving. AR 494-508. The ALJ noted that the record showed no treatment for any condition after that point. AR 81.
"Apart from objective findings," the ALJ also noted that Reed was "overly dramatic" in her presentation at both hearings. AR 81. The ALJ noted inconsistencies in Reed's testimony regarding where she was filmed in pornographic movies; in the hearing, she insinuated that it was when she was abducted and taken to Las Vegas, AR 95, 130, but in September 2009, she reported that she was tested for HIV in Los Angeles while she was making a pornographic film. AR 82, 497. The ALJ noted that Reed claimed at the hearing that she was forced into prostitution,
The ALJ also remarked on Reed's sarcastic comment about being able to perform as a stripper during the VE's testimony, and concluded that this sarcasm made it less likely that Reed was as traumatized by her alleged abduction as Reed claimed. AR 81-82. The ALJ also would have found Reed's testimony more believable if she had reported the alleged kidnapping, forced prostitution, and sexual assaults to authorities. AR 82. While the Court does not necessarily agree with this reasoning, even if the ALJ erred in discrediting Reed based upon her comment, any error would be harmless as the ALJ's other reasons were supported by substantial evidence.
Reed makes several related arguments that this Court will briefly address. First, Reed argues that the ALJ should have taken into account Dr. Pierce's October 2010 report. JS at 12-13. But the record shows that the ALJ
Second, Reed argues that the ALJ cannot disregard Reed's statements about her symptoms solely because they were not substantiated by objective medical evidence. JS at 13. That is true.
Third, Reed argues that the ALJ should have taken into account the VE's responses to certain hypotheticals posed to the VE. JS at 13-15. The ALJ asked the VE whether Reed's absence from work once a week or a third of each day due to anxiety or depression would affect the VE's conclusions, and the VE stated that those factors would eliminate any possible available jobs. AR 142-43. Contrary to Reed's apparent belief, the VE was not opining that she was in fact subject to these limitations (an opinion that would have been beyond the scope of a vocational expert). The ALJ was merely posing hypotheticals based on a limitation that, in the end, the ALJ apparently concluded was not supported by the evidence.
Fourth, Reed argues that the ALJ should have explored Reed's reasons for failing to seek medical care. JS at 15-17. The ALJ did explore Reed's reasons. At the second hearing, in response to the ALJ's questioning, Reed claimed that she was not getting treatment because she was uncomfortable leaving Riverside, and there was no VA facility in Riverside. AR 119, 121. Even though the ALJ did not ask Reed why she had consistently missed appointments at the local county mental health clinic in Riverside, the Court does not agree that the ALJ was required to do so.
Reed cites a Seventh Circuit case,
Nor does Social Security Ruling 96-7p compel a different result. As a footnote in
Fifth, Reed claims that the ALJ relied on boilerplate language in the adverse credibility finding. JS at 17. While the ALJ did use boilerplate language for the actual finding, what followed was pages of non-boilerplate language regarding the ALJ's reasons for that finding.
"If the ALJ's finding is supported by substantial evidence, the court may not engage in second-guessing."
Reed argues that the ALJ's failure to state his reasons for declining to adopt the VA's disability rating requires remand. JS at 20-22.
In June 2009, the VA determined that Reed's bipolar disorder with psychotic features was related to her military service, and gave her a disability rating of 100%. AR 279-281. In his decision, the ALJ noted the rating, and acknowledged that the Ninth Circuit believes that the VA disability analysis is consistent with the Social Security Administration's disability evaluation. AR 82. The ALJ declined to adopt the rating because "[y]et, again, in the Social Security record, the allegations are not supported in the file."
The phrase "yet again" is an obvious reference to the ALJ's credibility findings regarding Reed's complaints about her symptoms. Furthermore, the ALJ went on to note once more that Reed's complaints were inconsistent with her refusal to seek treatment and missing appointments.
For the reasons stated above, the decision of the Social Security Commissioner is AFFIRMED and the action is DISMISSED with prejudice.