BENJAMIN H. SETTLE, District Judge.
Type of Benefits Sought:
Plaintiff's:
Principal Disabilities Alleged by Plaintiff: Post-traumatic stress disorder, bipolar disorder, depression Disability Allegedly Began: June 28, 2008 Principal Previous Work Experience: Cook, dishwasher, day laborer Education Level Achieved by Plaintiff: 10th grade
Before ALJ Ilene Sloan:
Before Appeals Council:
Summary of Decision: Declined review
Pursuant to 42 U.S.C. § 405(g), the Court may set aside the Commissioner's denial of Social Security benefits when the ALJ's findings are based on legal error or not supported by substantial evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 (9th Cir. 2005). "Substantial evidence" is more than a scintilla, less than a preponderance, and is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Richardson v. Perales, 402 U.S. 389, 401 (1971); Magallanes v. Bowen, 881 F.2d 747, 750 (9th Cir. 1989). The ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and resolving any other ambiguities that might exist. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record as a whole, it may neither reweigh the evidence nor substitute its judgment for that of the ALJ. See Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). "Where the evidence is susceptible to more than one rational interpretation, one of which supports the ALJ's decision, the ALJ's conclusion must be upheld." Id.
The claimant, Jerald M. Brooks ("Brooks"), bears the burden of proving that he is disabled within the meaning of the Social Security Act ("Act"). Meanel v. Apfel, 172 F.3d 1111, 1113 (9th Cir. 1999). The Act defines disability as the "inability to engage in any substantial gainful activity" due to a physical or mental impairment which has lasted, or is expected to last, for a continuous period of not less than twelve months. 42 U.S.C. §§ 423(d)(1)(A), 1382c(3)(A). A claimant is disabled under the Act only if his impairments are of such severity that he is unable to do his previous work, and cannot, considering his age, education, and work experience, engage in any other substantial gainful activity existing in the national economy. 42 U.S.C. §§ 423(d)(2)(A); see also Tackett v. Apfel, 180 F.3d 1094, 1098-99 (9th Cir. 1999).
The Commissioner has established a five-step sequential evaluation process for determining whether a claimant is disabled within the meaning of the Act. See 20 C.F.R. § 416.920. The claimant bears the burden of proof during steps one through four. Valentine v. Comm'r, Soc. Sec. Admin., 574 F.3d 685, 689 (9th Cir. 2009). At step five, the burden shifts to the Commissioner. Id.
1. Did the ALJ err in evaluating the medical evidence in the record?
2. Did the ALJ err in assessing Brooks's RFC?
Brooks appeals the Commissioner's decision denying him disability benefits, arguing that the ALJ committed several errors requiring reversal. Dkt. 15. The Court addresses the alleged errors in turn.
Brooks argues that the ALJ erred in evaluating the medical evidence in the record. See Dkt. 15 at 4-14. The ALJ is responsible for determining credibility and resolving ambiguities and conflicts in the medical evidence. See Reddick v. Chater, 157 F.3d 715, 722 (9th Cir. 1998). In resolving questions of credibility and conflicts in the evidence, an ALJ's findings "must be supported by specific, cogent reasons." Id. at 725. The ALJ can do this "by setting out a detailed and thorough summary of the facts and conflicting clinical evidence, stating his interpretation thereof, and making findings." Id.
The ALJ must provide "clear and convincing" reasons for rejecting the uncontradicted opinion of either a treating or examining physician. Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1996). Even when a treating or examining physician's opinion is contradicted, that opinion "can only be rejected for specific and legitimate reasons that are supported by substantial evidence in the record." Id. at 830-31.
Brooks argues that the ALJ erred by failing to give specific and legitimate reasons supported by substantial evidence to discount the opinions of Department of Social and Health Services ("DSHS") examining psychologists Janice Edwards, Ph.D., James Hughes, M.D., and Avanti Bergquist, M.D. See Dkt. 15 at 5-12. The Court disagrees.
In 2010 and 2011, the DSHS psychologists evaluated Brooks and found that he had several marked and severe workplace limitations stemming from his mental impairments. See AR 236, 272, 281. Dr. Edwards stated that Brooks's impaired memory and auditory hallucinations would prevent him from completing a full workday or interacting appropriately with others. See AR 272. Dr. Hughes stated that Brooks was markedly impaired in his ability to tolerate normal workplace stressors. See AR 281. Dr. Bergquist stated that Brooks's anxiety and difficulty dealing with people would prevent him from being able to complete a normal workday or workweek. See AR 236.
The ALJ gave limited weight to these opinions for the same reason — that Brooks's presentation at the mental status examinations administered by the DSHS psychologists was noticeably different than his presentation before any treatment provider. See AR 655-56. An ALJ need not accept a physician's opinion if that opinion is inadequately supported by clinical findings or "by the record as a whole." See Batson v. Comm'r, Soc. Sec. Admin., 359 F.3d 1190, 1195 (9th Cir. 2004). Also, an ALJ may discount an evaluating physician's opinion where there is evidence that the claimant exaggerated symptoms. See Thomas, 278 F.3d at 958.
Here, treatment providers repeatedly found Brooks to have appropriate speech, approproiate motor activity, normal thought processes, intact memory, and full orientation. See, e.g., AR 214, 229, 599-600, 605, 607, 614, 617. While engaged in chemical dependency treatment, Brooks demonstrated the ability to maintain appropriate behavior in his treatment group, being a "very positive and vocal member of the group conversations" and showing good thought process and insight. See AR 550. This behavior was in stark contrast with Brooks's presentation before the DSHS evaluating psychologists, who described slow speech, impaired memory, impaired orientation to time and place, "outrageous" mood swings, "bizarre" behavior, and psychomotor agitation, including rocking back and forth. See AR 234-35, 271-72, 279. Therefore, substantial evidence supports the ALJ's reason for giving limited weight to the opinion of the DSHS psychologists.
Brooks argues that the ALJ erred by failing to give a germane reason supported by substantial evidence to discount the opinion of evaluating social worker Nebyu Hailemariam, LICSW. See Dkt. 15 at 12-14. The Court disagrees.
In 2010, Ms. Hailemariam evaluated Brooks and opined that Brooks had marked or severe limitations in almost all work-related activities. See AR 204. Social workers are considered "other sources," and their opinions may be given less weight than those of "acceptable medical sources." See 20 C.F.R. § 404.1513(d). The testimony of such "other sources" may be discounted if the ALJ "gives reasons germane to each [source] for doing so." See Molina v. Astrue, 674 F.3d 1104, 1111 (9th Cir. 2012) (internal citations omitted). Here, the ALJ gave Ms. Hailemariam's opinion little weight for the same reason that she gave little weight to the DSHS psychologists' opinions — that Brooks presented as markedly more impaired on evaluation than he did with treatment providers. See AR 655. For the reasons described above, substantial evidence supports the ALJ discounting Ms. Hailemariam's opinion. See supra § VII.A.1.
Brooks argues that the ALJ's RFC and finding at step five that Brooks could perform other work were not supported by substantial evidence due to the errors alleged above. See Dkt. 15 at 15-18. However, the Court found no error by the ALJ in evaluating the medical evidence. See supra, § VII.A. Therefore, the RFC and resulting step-five finding are supported by substantial evidence and are not in error.
Therefore, it is hereby