ALLISON CLAIRE, Magistrate Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner"), denying her application for disability insurance benefits ("DIB") under Title II of the Social Security Act, 42 U.S.C. §§ 401-34.
For the reasons that follow, the court will grant plaintiff's motion for summary judgment, and deny the Commissioner's cross-motion for remand.
Plaintiff applied for disability insurance benefits on December 7, 2012. Administrative Record ("AR") 12.
On July 2, 2015, the ALJ issued an unfavorable decision, finding plaintiff "not disabled" under Sections 216(i) and 223(d) of Title II of the Act, 42 U.S.C. §§ 416(i), 423(d). AR 12-25 (decision), 26-30 (exhibit list). On March 13, 2017, after receiving supplemental medical records from Ornella Addonizio, M.D. dated February 14, 2012 to January 20, 2013, the Appeals Council denied plaintiff's request for review, leaving the ALJ's decision as the final decision of the Commissioner of Social Security. AR 1-3 (decision), 4 (exhibit list).
Plaintiff filed this action on April 12, 2017. ECF No. 1;
Plaintiff was born on 1966, and accordingly was 45 years old on the alleged disability onset date, making her a "younger person" under the regulations. AR 22;
The Commissioner's decision that a claimant is not disabled will be upheld "if it is supported by substantial evidence and if the Commissioner applied the correct legal standards."
Substantial evidence is "more than a mere scintilla," but "may be less than a preponderance."
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.'"
Disability Insurance Benefits is available for every eligible individual who is "disabled." 42 U.S.C. §§ 423(a)(1)(E). Plaintiff is "disabled" if she is "`unable to engage in substantial gainful activity due to a medically determinable physical or mental impairment . . .'"
The Commissioner uses a five-step sequential evaluation process to determine whether an applicant is disabled and entitled to benefits. 20 C.F.R. §§ 404.1520(a)(4);
20 C.F.R. §§ 404.1520(a)(4)(i), (b).
The claimant bears the burden of proof in the first four steps of the sequential evaluation process. 20 C.F.R. §§ 404.1512(a) ("In general, you have to prove to us that you are blind or disabled");
The ALJ made the following findings:
AR 14-24.
As noted, the ALJ concluded that plaintiff was "not disabled" under Sections 216(i) and 223(d) of Title II of the Act, 42 U.S.C. §§ 416(i), 423(d). AR 24.
Plaintiff raises the following issues: (1) the ALJ improperly failed to include plaintiff's Axis II personality disorder NOS as a severe impairment at Step Two; (2) the ALJ improperly discredited the treating psychiatrist's opinion; (3) the ALJ improperly discredited the opinion of the examining psychologist; (4) the ALJ erred at Step Three by not properly assessing whether plaintiff's impairments met or equaled the Listed Impairment 12.08 criterion; and (5) the ALJ improperly discredited plaintiff's testimony. ECF No. 20 at 13-22. Plaintiff seeks remand for an immediate award of benefits.
Because the court concludes that the ALJ's error regarding Dr. Addonizio's opinion warrants an immediate award of benefits under the "credit as true" doctrine, that is the only issue discussed below.
The Ninth Circuit distinguishes "among the opinions of three types of physicians: (1) those who treat the claimant (treating physician); (2) those who examine but do not treat the claimant (examining physicians); and (3) those who neither examine nor treat the claimant (nonexamining physicians). As a general rule, more weight should be given to the opinion of a treating source than to the opinion of doctors who do not treat the claimant."
In this case, the ALJ considered the opinions of six mental health professionals. The ALJ gave "great weight" to the opinions of State Agency's non-examining physician Robert Ludicke, M.D., and psychologist Patrice G. Solomon, Ph.D., because he found their conclusions that plaintiff was limited to performing simple repetitive tasks were consistent with the record overall AR 20. Both opinions concluded that plaintiff's conditions were not severe enough to limit her ability to work. AR 92, 101. The ALJ assigned "reasonable weight" to the opinion of examining psychologist, Anita Kemp, Ph.D., and "little weight" to the opinion of plaintiff's treating psychotherapist, Al Huitric, M.S. AR 21. The ALJ also assigned "little weight" to the opinions of treating psychiatrists, Thomas J. Andrews, M.D. and Ornella Addonizio, M.D. AR 20-21.
Dr. Addonizio began treating plaintiff on February 14, 2012. AR 519-521. The medical record shows that plaintiff received continuous bi-weekly or monthly treatment from Dr. Addonizio, until the last treatment note dated April 9, 2015. AR 523-524 (treatment notes for March 14, 2012); 525-526 (treatment notes for March 28, 2012); 543-545 (treatment notes for November 1, 2012); 546-548 (treatment notes for November 15, 2012); 549 (treatment notes for December 11, 2012); 550-552 (treatment notes for December 27, 2012); 553-555 (treatment notes for January 10, 2013); 556-558 (treatment notes for January 17, 2013); 559-561 (treatment notes for January 31, 2013); 448-450 (treatment notes for May 8, 2013); 445-447 (treatment notes for July 10, 2013); 441-444 (treatment notes for July 24, 2013); 437-440 (treatment notes for December 18, 2013); 434-436 (treatment notes for February 19, 2014); 432-433 (treatment notes for March 19, 2014); 429-431 (treatment notes for May 14, 2014); 426-428 (treatment notes for June 26, 2014); 422-425 (treatment notes for August 27, 2014); 452-453 (treatment notes for October 1, 2014); 457-458 (treatment notes for January 5, 2015); 463-466 (treatment notes for January 14, 2015); 491-494 (treatment notes for January 21, 2015); 487-490 (treatment notes for February 18, 2015); 508-511 (treatment notes for February 25, 2015); 504-507 (treatment notes for March 5, 2015); 500-503 (treatment notes for March 10, 2015); 496-499 (treatment notes for April 9, 2015).
Dr. Addonizio assessed plaintiff with "Generalized Anxiety Disorder" and "Major Depressive D.O. Recurr[ing]" on November 2012. AR 543. Treatment notes indicated plaintiff's medications were continuously adjusted to address plaintiff's changing symptoms. AR 525, 545, 547-548, 549, 558, 447, 439, 465-466, 489, 510, 506. Treatment notes also indicated a listing of psychiatric medications plaintiff was prescribed to address her impairments. AR 521, 543, 547, 550, 553, 556, 559, 449-450, 446, 442-443, 438, 435, 433, 430, 427, 423, 465, 492, 488, 509, 505, 501, 497. The last treatment notes of record dated April 9, 2015 indicated plaintiff's psychiatric medications included prescriptions for Brintellix,
On October 1, 2014, Dr. Addonizio completed a form entitled "Medical Opinion re: Ability To Do Work-Related Activities (Mental)." AR 452-453. Dr. Addonizio opined that plaintiff's mental abilities such as "remember[ing] work-like procedures;" "maintain[ing] attention for two[-]hour segment[s];" "maintain[ing] regular attendance and be[ing] punctual within customary, usually strict tolerances;" "work[ing] in coordination with or proximity to others without being unduly distracted;" "complet[ing] a normal workday and workweek without interruptions from psychologically based symptoms;" "perform[ing] at a consistent pace without an unreasonable number and length of rest periods;" and "deal[ing] with normal work stress" were "unable to meet competitive standards."
On January 5, 2015, Dr. Addonizio and plaintiff's psychotherapist, Al Huitric, completed an updated "Medical Opinion re: Ability To Do Work-Related Activities (Mental)" form. AR 457-458. The assessment included plaintiff's previously marked limitations with the addition of diminishing abilities in other areas. Plaintiff's mental abilities to "carry out very short and simple instructions;" "ask simple questions or request assistance;" "get along with co-workers or peers without unduly with co-workers or peers without unduly distracting them or exhibiting behavioral extremes;" and "respond appropriately to changes in a routine work setting" were noted to have declined to "unable to meet competitive standards." AR 457. Plaintiff's mental abilities to "complete a normal workday and workweek without interruptions from psychologically based symptoms;" "perform at a consistent pace without an unreasonable number and length of rest periods;" and "accept instructions and respond appropriately to criticism from supervisors" were noted to have further declined to "no useful ability to function."
The ALJ gave Dr. Addonizio's October 1, 2014 opinion as to plaintiff's "ability to do work-related activities" "little weight" on the grounds that the opinion was "unsupported by the medical records, including [her] own treatment notes and generally benign mental status examinations." AR 20. The ALJ further noted that Dr. Addonizio's January 5, 2015 opinion relating to plaintiff's "ability to do work-related activities," was given "little weight" on the grounds that the opinion was "unsupported by the medical evidence including [her] own treatment notes." AR 21.
The ALJ erred in failing to specify the inconsistencies he identified between Dr. Addonizio's opinions and her treatment notes and examinations.
Here, the ALJ did not satisfy this requirement. "[A]n ALJ errs when he rejects a medical opinion or assigns it little weight while doing nothing more than ignoring it, asserting without explanation that another medical opinion is more persuasive, or criticizing it with boilerplate language that fails to offer a substantive basis for his conclusion."
As discussed, the ALJ erred in rejecting Dr. Addonizio's opinion and that error was not harmless. Accordingly, the court is authorized "to `revers[e] the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing.'"
More specifically, the district court should credit evidence that was rejected during the administrative process and remand for an immediate award of benefits if (1) the ALJ failed to provide legally sufficient reasons for rejecting the 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.
Under the second step in the remand analysis, the court must "review the record as a whole and determine whether it is fully developed, is free from conflicts and ambiguities, and all essential factual issues have been resolved."
In this case, if Dr. Addonizio's opinion were credited as true, plaintiff would necessarily be found disabled under the applicable regulations. Specifically, Dr. Addonizio opined that plaintiff's "impairments or treatment would cause" plaintiff "to be absent from work" "more than four days per month." AR 453, 458. When plaintiff's limitations, particularly the limitation of missing three days per month from work, was put to the VE at the hearing, the VE testified that there would be no jobs available. AR 78. Because the VE found that no jobs were available for plaintiff under the hypothetical incorporating a work attendance less severe than Dr. Addonizio's opinion, plaintiff is disabled under the Act.
Where the above steps are satisfied, this court must exercise its discretion in determining whether to remand for further proceedings, or for the immediate calculation and award of benefits.
Here, the record leaves no doubt that the plaintiff is disabled within the meaning of the Act. The VE was provided a hypothetical by plaintiff's attorney that included the limitation of plaintiff missing work more than three times a month. AR 78. Based on this hypothetical, the VE concluded that plaintiff was prevented from maintaining full-time employment. Accordingly, the court finds that plaintiff is disabled within the meaning of the Act and no further fact finding is necessary.
For the reasons set forth above, IT IS HEREBY ORDERED that:
1. The Clerk of the Court shall correct the docket to reflect the correct spelling of plaintiff's last name (Zuckswert);
2. Plaintiff's motion for summary judgment (ECF No. 20), is GRANTED;
3. The Commissioner's motion to remand (ECF No. 24), is DENIED;
4. This matter is REVERSED and REMANDED to the Commissioner for an immediate award of benefits; and
5. The Clerk of the Court shall enter judgment for plaintiff, and close this case.