JOLIE A. RUSSO, Magistrate Judge.
Plaintiff brings this proceeding to obtain judicial review of the Commissioner's final decision denying plaintiff's application for supplemental security income benefits (SSI).
Plaintiff asserts disability beginning September 10, 2005 due to bipolar disorder with psychosis. Tr. 157, 171. Plaintiff was 14 years old on her alleged onset date. Tr. 157.
After a hearing held on October 19, 2015, an administrative law judge (ALJ) determined plaintiff was not disabled. Plaintiff asserts the ALJ erred by: (1) improperly discrediting her testimony; (2) improperly rejecting the opinion consulting psychological examiner Dr. Scott Alvord; and (3) improperly discrediting her great-grandmother's third-party statement.
In her application for SSI, plaintiff asserted her mental state is such that she is unable to work because she "can't sit still," her "attention span is that of a child," and she "can't remember things." Tr. 180. Plaintiff further asserted she never had a job and does not "even have the concept of being employed."
Plaintiff has a sparse medical history, but records indicate a suicide attempt in January 2010 following a breakup with her then boyfriend. Tr. 588.
Nonetheless, plaintiff stated she is still unable to work when taking Depakote because she gets discouraged and suffers from paranoia. Tr. 55. Plaintiff testified she could "not take on too much work so that it wouldn't become stressful." Tr. 58. Plaintiff stated she unable to handle even slow paced jobs full-time because there are days she doesn't "feel like doing anything at all." Tr. 61. Plaintiff also relates that she has panic attacks once a month that are relieved by smoking marijuana. Tr. 65-66.
The ALJ found plaintiff not credible concerning the limiting effects of her disorder. Tr. 23. The ALJ first noted there is no basis for plaintiff's alleged onset date of September 2005 because there are no medical records even remotely close to this date. Tr. 23. While the medical records are indeed sparse with little in the way of documented history of significant medical problems, the medical record does document two suicide attempts in November 2005
The ALJ also noted plaintiff did not seek mental health treatment until March 2013. However, plaintiff was a minor for much of the period of alleged disability and, as noted, it is unclear what medical records may exist and to what extent plaintiff controlled her medical treatment. In addition, plaintiff alluded to an inability to afford treatment until recently. Tr. 54 (times when unable to afford medication); 55 ("On Oregon Health now . . . so no reason not to take Depakote"). Because the record is unclear, it cannot be determined if the ALJ appropriately made an adverse credibility determination based on failure to seek medical treatment.
The ALJ next notes that despite plaintiff's alleged inability to work, plaintiff expressed an interest in working, applied for full-time work, attended interviews, and performed some "under-thetable work." Tr. 23. Plaintiff did express interest in work.
The ALJ also noted plaintiff's lack of mental health counseling and the effectiveness of her medication in stabilizing her symptoms. Tr. 24. While the record does indicate medication effectively prevented severe psychotic episodes and stabilized her mood, plaintiff testified that she still suffers from paranoia, is unable to handle the stress of "too much work," and suffers from panic attacks. Tr. 55, 58, 65. The record is unclear as to plaintiff's lack of counseling as plaintiff stated, "I've had counseling all my life so it's basically you start to hear the same things over and over again." Tr. 65. The record is ambiguous as to whether plaintiff's medication controls her bipolar condition sufficiently to enable her to work.
The ALJ next notes that despite allegations of disability, plaintiff obtained her GED, attended community college, and had the stamina to play video games. Tr. 25. However, it is unclear how obtaining a GED or playing video games translates to an ability to work or otherwise discredits plaintiff's asserted inability to work full-time. In addition, while the record indicates plaintiff "passed some of her first exams" of cosmetology school, she stopped going because she was "too overwhelmed." Tr. 418, 67.
Dr. Alvord examined plaintiff on September 15, 2015. Tr. 554. Dr. Alvord diagnosed plaintiff with chronic bipolar disorder and post-traumatic stress disorder. Tr. 558. He opined plaintiff would have difficulty: performing detailed and complex tasks; accepting instructions from supervisors; interacting with co-workers and the public; performing work activities on a consistent basis without special accommodations; maintaining regular attendance in the workplace; completing a normal workday/workweek without interruption from her psychiatric condition; and dealing with the usual stress encountered in the workplace. Tr. 558.
The ALJ gave little wight to Dr. Alvord's opinion finding it was based on a limited review of the medical evidence and was inconsistent with the record as a whole. Tr. 26. To the extent the the ALJ relies on his finding that the effectiveness of plaintiff's medications belie the assertion that plaintiff cannot work full-time; the record, as noted above, is ambiguous on this point.
The ALJ ultimately concluded that Dr. Alvord's opinion was based on plaintiff's less than credible reports. Tr. 26. However, as noted above, the record needs further development regarding plaintiff's credibility. Moreover, as the Ninth Circuit has noted:
Accordingly, a remand is necessary to address Dr. Alvord's opinion along with plaintiff's credibility.
Plaintiff lives with her great-grandmother Pearl M. who reported on the limitations imposed by plaintiff's mental condition. Tr. 202-09. The ALJ stated Pearl M's report "generally mirrored the claimant's reports of pain, limitations, and activities of daily living." Tr. 23. The ALJ gave little weight to the report stating: "Due to her relationship with and affection for the claimant, she is understandably sympathetic to the claimant and has a natural tendency to agree with her reported limitations." Tr. 23. The Commissioner concedes that it is improper for the ALJ to reject a family member's report because of a sympathetic relationship to the claimant. Nonetheless, the Commissioner argues the court can infer that the ALJ rejected the report for the same reasons he rejected plaintiff's similar subjective report. To the extent the court could infer such a finding on the part of the ALJ, the record needs further development regarding plaintiff's credibility as noted above. Accordingly, a remand is necessary to address Pearl M's report as well.
Plaintiff argues the court should remand for payment of benefits. The court declines to do so. Although the ALJ failed to provide legally sufficient reasons for rejecting plaintiff's testimony, Dr. Alvord's opinion, and Pearl M's report, the record requires further development before a finding of disability can be made. Because a remand for further proceedings is necessary, a remand for payment of benefits is not warranted.
Pursuant to Sentence 4 of 42 U.S.C. § 405(g), the decision of the Commissioner is reversed and remanded for further proceedings.