Jamie M. v. Frank Bisignano, Commissioner of Social Security
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Opinion
1 2 FILED IN THE U.S. DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 3 Mar 12, 2026 4 SEAN F. MCAVOY, CLERK 5 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 6
7 JAMIE M., NO. 1:25-CV-3142-TOR 8 Plaintiff, ORDER AFFIRMING 9 v. COMMISSIONER’S DENIAL OF BENEFITS UNDER TITLE XVI OF 10 FRANK BISIGNANO, THE SOCIAL SECURITY ACT COMMISSIONER OF SOCIAL 11 SECURITY
12 Defendant. 13 BEFORE THE COURT is Plaintiff’s Motion for judicial review of 14 Defendant’s denial of his application for Title XVI disability benefits under the 15 Social Security Act (ECF No. 11). This matter was submitted for consideration 16 without oral argument. The Court has reviewed the record and files herein and is 17 fully informed. For the reasons discussed below, the Commissioner’s denial of 18 Plaintiff’s application for benefits under Title XVI of the Social Security Act is 19 AFFIRMED. 20 1 JURISDICTION 2 The Court has jurisdiction over this case pursuant to 42 U.S.C. §§ 405(g),
3 1383(C)(3). 4 STANDARD OF REVIEW 5 It is the administrative law judge’s (ALJ) job to “determine credibility,
6 resolve conflicts in the testimony, and resolve ambiguities in the record.” Lambert 7 v. Saul, 980 F.3d 1266, 1277 (9th Cir. 2020) (quoting Treichler v. Comm'r of Soc. 8 Sec. Admin., 775 F.3d 1090, 1098 (9th Cir. 2014)). The Court will affirm the 9 Commissioner’s decision to deny benefits unless it “is not supported by substantial
10 evidence or is based on legal error.” Lambert, 980 F.3d at 1277 (quoting 11 Treichler., 775 F.3d at 1098) (internal quotations omitted). On that note, it is 12 important for the ALJ to provide sufficient reasons for the court to review the basis
13 of an administrative order and to identify where in the record those reasons are 14 reflected. Id. 15 The Court reviews the agency’s findings to determine whether they are 16 supported with substantial evidence. Biestek v. Berryhill, 587 U.S. 97, 99 (2019);
17 42 U.S.C. § 405(g). In this context, the threshold is not high. Biestek, 587 U.S. at 18 103. Substantial evidence is present when there is “‘more than a mere scintilla.’” 19 Biestek, 587 U.S. at 103. In other words, “such relevant evidence as a reasonable
20 1 mind might accept as adequate to support a conclusion.” Biestek, 587 U.S. at 103 2 (quoting Consol. Edison Co. of New York v. N.L.R.B., 305 U.S. 197, 229 (1938)).
3 The Court will not reverse for errors that are harmless. Molina v. Astrue, 4 674 F.3d 1104, 1117 (9th Cir. 2012). An error is harmless if it is “inconsequential 5 to the ultimate nondisability determination.” Molina, 674 F.3d at 1115 (quoting
6 Carmickle, 533 F.3d at 1162). To effectuate this, the Court reviews the record as a 7 whole to determine whether the error altered the result of the case. Molina, 674 8 F.3d at 1115. 9 FIVE STEP SEQUENTIAL EVALUATION PROCESS
10 The Commissioner uses a five-step sequential process to decide whether a 11 claimant is considered disabled. 20 C.F.R. § 416.920(a)(1). The Commissioner 12 considers all evidence in the record to make this determination. 20 C.F.R. §
13 416.920(a)(3). Disability is defined “as the inability to do any substantial gainful 14 activity by reason of any medically determinable physical or mental impairment 15 which can be expected to result in death or which has lasted or can be expected to 16 last for a continuous period of not less than 12 months.” 20 C.F.R. § 416.905(a).
17 This requires a severe impairment that makes the claimant unable to complete the 18 claimant’s past relevant work or any other substantial gainful work. 20 C.F.R. § 19 416.905(a).
20 At each step, the Commissioner may find a claimant either not disabled or 1 disabled. 20 C.F.R. § 416.920(a)(4). If the claimant is found disabled, then the 2 process stops, and the determination is made. 20 C.F.R. § 416.920(a)(4).
3 However, step three to four, the Commissioner assesses residual function capacity 4 (“RFC”). Id. Then steps four and five the Commissioner evaluates the claimant’s 5 claim. Id.
6 At step one, the Commissioner considers the claimant’s work activity and if 7 the Commissioner decides that the claimant is doing substantial gainful activity, 8 then the Commissioner will find the claimant is not disabled. 20 C.F.R. § 9 416.920(a)(4)(i). Substantial gainful activity is both substantial and gainful work
10 activity. 20 C.F.R. § 416.972. Substantial work activity means “doing significant 11 physical or mental activities” and may be done on a part-time basis, with less pay, 12 or less responsibility than before. 20 C.F.R. § 416.972(a). Gainful work activity is
13 work done for pay or profit even if the profit is not realized. 20 C.F.R. § 14 416.972(b). Put together, “[s]ubstantial gainful activity means work that—(a) 15 [i]nvolves doing significant and productive physical or mental duties; and (b) [i]s 16 done (or intended) for pay or profit.” 20 C.F.R. § 416.910.
17 At step two, the Commissioner considers the claimant’s medical severity of 18 the claimant’s impairment(s). 20 C.F.R. § 416.920(a)(4)(ii). If the claimant does 19 not have either a physical or mental impairment that is severely medically
20 determinable, or a combination of impairments satisfying the requirements the 1 Commissioner will deem the claimant as not disabled. 20 C.F.R. § 2 416.920(a)(4)(ii).
3 At step three, the Commissioner continues to consider the claimant’s 4 medical severity of claimant’s impairment. 20 C.F.R. § 416.920(a)(4)(iii). If the 5 claimant falls under one of the listings in appendix 1, fulfills this subpart, and the
6 durational requirement, then the Commissioner will determine the claimant as 7 disabled. 20 C.F.R. § 416.920(a)(4)(iii). 8 At step four, the Commissioner shifts to address the claimant’s RFC and 9 work experience to see whether the claimant can make an adjustment to other
10 work. 20 C.F.R. § 416.920(a)(4)(iv).
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1 2 FILED IN THE U.S. DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 3 Mar 12, 2026 4 SEAN F. MCAVOY, CLERK 5 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 6
7 JAMIE M., NO. 1:25-CV-3142-TOR 8 Plaintiff, ORDER AFFIRMING 9 v. COMMISSIONER’S DENIAL OF BENEFITS UNDER TITLE XVI OF 10 FRANK BISIGNANO, THE SOCIAL SECURITY ACT COMMISSIONER OF SOCIAL 11 SECURITY
12 Defendant. 13 BEFORE THE COURT is Plaintiff’s Motion for judicial review of 14 Defendant’s denial of his application for Title XVI disability benefits under the 15 Social Security Act (ECF No. 11). This matter was submitted for consideration 16 without oral argument. The Court has reviewed the record and files herein and is 17 fully informed. For the reasons discussed below, the Commissioner’s denial of 18 Plaintiff’s application for benefits under Title XVI of the Social Security Act is 19 AFFIRMED. 20 1 JURISDICTION 2 The Court has jurisdiction over this case pursuant to 42 U.S.C. §§ 405(g),
3 1383(C)(3). 4 STANDARD OF REVIEW 5 It is the administrative law judge’s (ALJ) job to “determine credibility,
6 resolve conflicts in the testimony, and resolve ambiguities in the record.” Lambert 7 v. Saul, 980 F.3d 1266, 1277 (9th Cir. 2020) (quoting Treichler v. Comm'r of Soc. 8 Sec. Admin., 775 F.3d 1090, 1098 (9th Cir. 2014)). The Court will affirm the 9 Commissioner’s decision to deny benefits unless it “is not supported by substantial
10 evidence or is based on legal error.” Lambert, 980 F.3d at 1277 (quoting 11 Treichler., 775 F.3d at 1098) (internal quotations omitted). On that note, it is 12 important for the ALJ to provide sufficient reasons for the court to review the basis
13 of an administrative order and to identify where in the record those reasons are 14 reflected. Id. 15 The Court reviews the agency’s findings to determine whether they are 16 supported with substantial evidence. Biestek v. Berryhill, 587 U.S. 97, 99 (2019);
17 42 U.S.C. § 405(g). In this context, the threshold is not high. Biestek, 587 U.S. at 18 103. Substantial evidence is present when there is “‘more than a mere scintilla.’” 19 Biestek, 587 U.S. at 103. In other words, “such relevant evidence as a reasonable
20 1 mind might accept as adequate to support a conclusion.” Biestek, 587 U.S. at 103 2 (quoting Consol. Edison Co. of New York v. N.L.R.B., 305 U.S. 197, 229 (1938)).
3 The Court will not reverse for errors that are harmless. Molina v. Astrue, 4 674 F.3d 1104, 1117 (9th Cir. 2012). An error is harmless if it is “inconsequential 5 to the ultimate nondisability determination.” Molina, 674 F.3d at 1115 (quoting
6 Carmickle, 533 F.3d at 1162). To effectuate this, the Court reviews the record as a 7 whole to determine whether the error altered the result of the case. Molina, 674 8 F.3d at 1115. 9 FIVE STEP SEQUENTIAL EVALUATION PROCESS
10 The Commissioner uses a five-step sequential process to decide whether a 11 claimant is considered disabled. 20 C.F.R. § 416.920(a)(1). The Commissioner 12 considers all evidence in the record to make this determination. 20 C.F.R. §
13 416.920(a)(3). Disability is defined “as the inability to do any substantial gainful 14 activity by reason of any medically determinable physical or mental impairment 15 which can be expected to result in death or which has lasted or can be expected to 16 last for a continuous period of not less than 12 months.” 20 C.F.R. § 416.905(a).
17 This requires a severe impairment that makes the claimant unable to complete the 18 claimant’s past relevant work or any other substantial gainful work. 20 C.F.R. § 19 416.905(a).
20 At each step, the Commissioner may find a claimant either not disabled or 1 disabled. 20 C.F.R. § 416.920(a)(4). If the claimant is found disabled, then the 2 process stops, and the determination is made. 20 C.F.R. § 416.920(a)(4).
3 However, step three to four, the Commissioner assesses residual function capacity 4 (“RFC”). Id. Then steps four and five the Commissioner evaluates the claimant’s 5 claim. Id.
6 At step one, the Commissioner considers the claimant’s work activity and if 7 the Commissioner decides that the claimant is doing substantial gainful activity, 8 then the Commissioner will find the claimant is not disabled. 20 C.F.R. § 9 416.920(a)(4)(i). Substantial gainful activity is both substantial and gainful work
10 activity. 20 C.F.R. § 416.972. Substantial work activity means “doing significant 11 physical or mental activities” and may be done on a part-time basis, with less pay, 12 or less responsibility than before. 20 C.F.R. § 416.972(a). Gainful work activity is
13 work done for pay or profit even if the profit is not realized. 20 C.F.R. § 14 416.972(b). Put together, “[s]ubstantial gainful activity means work that—(a) 15 [i]nvolves doing significant and productive physical or mental duties; and (b) [i]s 16 done (or intended) for pay or profit.” 20 C.F.R. § 416.910.
17 At step two, the Commissioner considers the claimant’s medical severity of 18 the claimant’s impairment(s). 20 C.F.R. § 416.920(a)(4)(ii). If the claimant does 19 not have either a physical or mental impairment that is severely medically
20 determinable, or a combination of impairments satisfying the requirements the 1 Commissioner will deem the claimant as not disabled. 20 C.F.R. § 2 416.920(a)(4)(ii).
3 At step three, the Commissioner continues to consider the claimant’s 4 medical severity of claimant’s impairment. 20 C.F.R. § 416.920(a)(4)(iii). If the 5 claimant falls under one of the listings in appendix 1, fulfills this subpart, and the
6 durational requirement, then the Commissioner will determine the claimant as 7 disabled. 20 C.F.R. § 416.920(a)(4)(iii). 8 At step four, the Commissioner shifts to address the claimant’s RFC and 9 work experience to see whether the claimant can make an adjustment to other
10 work. 20 C.F.R. § 416.920(a)(4)(iv). If the Commissioner decides that the 11 claimant can still complete past relevant work, then the Commissioner rules the 12 claimant as not disabled. 20 C.F.R. § 416.920(a)(4)(iv).
13 At step five, the Commissioner continues to review the claimant’s residual 14 functional capacity with the claimant’s age, education, and work experience to 15 settle on any possible adjustments to other work. 20 C.F.R. § 416.920(a)(4)(v). If 16 this is possible, then the Commissioner will rule that the claimant is not disabled.
17 However, if the Commissioner establishes the opposite, then the claimant is 18 deemed as disabled. 20 C.F.R. § 416.920(a)(4)(v). 19 Once a claimant proves that: “(1) that she is not presently engaged in a
20 substantial gainful activity; (2) that her disability is severe, and (3) that her 1 impairment meets or equals one of the specific impairments described in the 2 regulations”, then the claimant must be found disabled. Hoopai v. Astrue, 499
3 F.3d 1071, 1074 (9th Cir. 2007) (quoting Thomas v. Barnhart, 278 F.3d 947, 955 4 (9th Cir. 2002)). However, if the stated impairment does not meet the requirement 5 listed in the regulations, the claimant may “still establish a prima facie case of
6 disability by proving at step four that ‘in addition to the first two requirements, ... 7 she is not able to perform any work that she has done in the past.’” Hoopai, 499 8 F.3d at 1074 (quoting Thomas, 278 F.3d at 955). After the claimant establishes 9 their prima facie case at step five, the burden shifts to the agency to prove that “the
10 claimant can perform a significant number of other jobs in the national economy.” 11 Hoopai, 499 F.3d at 1074–75 (quoting Thomas, 278 F.3d at 955). 12 ALJ FINDINGS
13 Plaintiff applied for supplemental security income (“SSI”) benefits on 14 December 21, 2016, alleging an amended onset date of the same. ECF No. 11 at 2. 15 Plaintiff appeared for a hearing before an administrative law judge (“ALJ”) in 16 2024. Id. Plaintiff received several denials from the ALJ, followed by remands
17 from the district court. ECF No. 11 at 2. While written exceptions were filed, the 18 Appeals Council did not assume jurisdiction. Id. 19 At step one, the ALJ found that Plaintiff received earnings at the level of
20 substantial gainful activity from working as a welder from June 14, 2018, to 1 September 28, 2018. Tr. 827. However, Plaintiff stated the job led to stress, 2 anxiety, and depression but that he quit his job due to the physical demand
3 requirement. Tr. 828. Moreover, his blood pressure medicine interfered with his 4 ability to consistently work because it caused diarrhea and made his need to use the 5 bathroom consistent. Id. Lastly, Plaintiff claims that he was fired for working too
6 slowly. Tr. 828. Based on this information and the district court’s order, the ALJ 7 determined that this work was unsuccessful and lasted less than six months, ending 8 “due to impairment-related difficulties.” Tr. 828. 9 At step two, the ALJ determined that Plaintiff had severe impairments
10 including hypertension, diabetes, depressive disorder, generalized anxiety disorder, 11 personality disorder, and a learning disorder. Tr. 828. The ALJ recognized 12 Plaintiff’s asthma and obesity but noted that these conditions did not preclude him
13 from basic work activities for 12 continuous months and cannot be considered as 14 severe. Id. 15 At step three, the ALJ did not find that any impairment or combination of 16 impairments that met the medical severity of the listed impairments in 20 C.F.R.
17 Part 404, Subpart P, Appendix 1. Tr. 828. The ALJ found moderate limitations 18 regarding Plaintiff’s ability to understand, remember, apply information and 19 interact with others. Tr. 829. The ALJ determined that Plaintiff has a mild
20 limitation regarding concentrating, persisting, or maintaining pace. Tr. 830. No 1 limitation was found for Plaintiff’s ability to adapt and manage himself. Tr. 830. 2 Because the ALJ did not find any extreme or marked limitations, paragraph B
3 criteria were not satisfied. Id. Furthermore, paragraph C criteria were not satisfied 4 because the evidence did not demonstrate the existence of that criterion. Tr. 830. 5 At step four, the ALJ determined Plaintiff’s residual functional capacity
6 (“RFC”) to meet the ability to perform medium work as defined under 20 C.F.R. 7 416.967(c) with exceptions. Plaintiff 8 can sit for six hours during an eight-hour workday; can stand and/or walk without limitation; can climb ladders, ropes, and scaffolds 9 occasionally and can perform all other postural activities frequently; can frequently reach overhead and forward bilaterally; should avoid 10 concentrated exposure to pulmonary irritants; is capable of performing simple tasks; and can have occasional interaction with supervisors, co- 11 workers, and the general public.
12 Tr. 830-31. While the ALJ decided that Plaintiff’s impairments could cause 13 Plaintiff’s symptoms, the ALJ disagreed with the intensity, persistence, and 14 limiting effects. Tr. 832. 15 At step five, the ALJ found that there are jobs available in the national 16 economy in significant numbers that are consistent with Plaintiff’s age, education, 17 work experience and RFC. Tr. 844. These potential jobs include a laundry 18 worker, cleaner II, and a janitor. Tr. 845. Therefore, the ALJ found that Plaintiff 19 was not disabled within the meaning of the Social Security Act (“SSA”). 20 1 ISSUES 2 I. Whether the ALJ reversibly erred by not properly assessing Plaintiff’s testimony. 3 II. Whether the ALJ reversibly erred by not properly assessing the 4 medical opinions. DISCUSSION 5 I. The ALJ did not err because the ALJ properly assessed Plaintiff’s 6 testimony. 7 “‘The credibility determination is exclusively the ALJ's to make,’ and ‘[w]e 8 are constrained to review the reasons the ALJ asserts.’” Lambert v. Saul, 980 F.3d 9 1266, 1278 (9th Cir. 2020) (quoting Brown-Hunter v. Colvin, 806 F.3d 487, 494 10 (9th Cir. 2015)) (quotations and emphasis omitted). When the ALJ determines the 11 credibility of a claimant’s subjective testimony, the ALJ uses a two-step process. 12 Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir. 2009). The first step requires the 13 ALJ to “determine whether the claimant has presented objective medical evidence 14 of an underlying impairment which could reasonably be expected to produce the 15 pain or other symptoms alleged.” Vasquez, 572 F.3d at 591 (quoting Lingenfelter 16 v. Astrue, 504 F.3d 1028, 1035–36 (9th Cir. 2007)). The claimant only needs to 17 “show that it could reasonably have caused some degree of the symptom.” 18 Vasquez, 572 F.3d at 591 (quoting Lingenfelter, 504 F.3d at 1035–36). 19 The second step states when the ALJ 20 1 determines that a claimant for Social Security benefits is not malingering and has provided objective medical evidence of an 2 underlying impairment which might reasonably produce the pain or other symptoms [he] alleges, the ALJ may reject the claimant's 3 testimony about the severity of those symptoms only by providing specific, clear, and convincing reasons for doing so. 4 5 Lambert v. Saul, 980 F.3d 1266, 1277 (9th Cir. 2020) (quoting Brown-Hunter v. 6 Colvin, 806 F.3d 487, 488–89 (9th Cir. 2015)) (citations omitted). “The clear and 7 convincing standard is the most demanding required in Social Security cases.” 8 Ferguson v. O'Malley, 95 F.4th 1194, 1199 (9th Cir. 2024) (quoting Garrison v. 9 Colvin, 759 F.3d 995, 1014-15 (9th Cir. 2014)). 10 Pursuant to this, the ALJ must “specifically identify the testimony [from a 11 claimant] she or he finds not to be credible and ... explain what evidence 12 undermines that testimony.” Lambert, 980 F.3d at 1277 (quoting Treichler v.
13 Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1102 (9th Cir. 2014)) (citations 14 omitted). Determining the credibility of a claimant’s testimony about the severity 15 of symptoms allows considerations including things such as: 16 (1) ordinary techniques of credibility evaluation, such as the claimant's reputation for lying, prior inconsistent statements concerning the 17 symptoms, and other testimony by the claimant that appears less than candid; (2) unexplained or inadequately explained failure to seek 18 treatment or to follow a prescribed course of treatment; and (3) the claimant's daily activities. 19
20 Smolen v. Chater, 80 F.3d 1273, 1284 (9th Cir. 1996). However, “[c]ontradiction 1 with the medical record is a sufficient basis for rejecting the claimant's subjective 2 testimony.” Carmickle v. Comm'r, Soc. Sec. Admin., 533 F.3d 1155, 1161 (9th Cir.
3 2008); Smartt v. Kijakazi, 53 F.4th 489, 499 (9th Cir. 2022). 4 A. Physical Impairments 5 Plaintiff argues that the ALJ erred by not recognizing the severity of his
6 symptoms, misstated Plaintiff’s symptoms, and did not provide clear and 7 convincing reasons. ECF No. 11 at 4-7. Plaintiff states that the ALJ did not meet 8 the clear and convincing standard because the ALJ did not specify which portion of 9 Plaintiff’s testimony contradicted which evidence. ECF No. 11 at 3. As a result,
10 Plaintiff requests that his case should be remanded and credited as a matter of law. 11 ECF No. 11 at 3, 12. 12 Previously, Plaintiff alleged himself to have frequent and uncontrolled
13 diarrhea, but the ALJ noted only few references to this problem. Tr. 833. 14 However, the Appeals Council remanded for consideration of this issue. Id. The 15 Appeals Council was concerned about the clarity of whether Plaintiff was able to 16 receive a prescription of 500 mg extended-release metformin. Tr. 833. With the
17 information provided and indications of higher dosage prescriptions, the ALJ 18 concluded she could not determine if Plaintiff obtained the 500 mg extended- 19 release metformin or if that dosage was appropriate. Id. As a result, the ALJ
20 1 cannot rely on evidence that Plaintiff’s diarrhea was mild when he was on 500 mg 2 extended-release metformin because he was prescribed higher doses. Id.
3 Furthermore, the ALJ confirmed that the evidence did not support Plaintiff’s 4 allegations concerning his diarrhea and discerned that it would not prevent him 5 from working. Tr. 833. The ALJ supports this with Plaintiff’s many denials of
6 having this impairment and assertions that it was intermittent. Id. However, in 7 January 2024, he reported having diarrhea and that it was persistent in March 2024. 8 Tr. 833. In October 2018, Plaintiff claimed incidents of diarrhea two times a day 9 since being on a higher metformin dose but that it was improving. Id.
10 Additionally, the ALJ notes that Plaintiff did not mention his diarrhea during 11 his consultative examination or his vocational assessment in January 2017 12 regarding disability-related barriers. Tr. 834. During his therapy appointments, he
13 only rarely mentioned it. Id. Therefore, the ALJ determined that Plaintiff’s claims 14 that his diarrhea affects his work are not supported. Id. 15 Plaintiff argues that the ALJ erred by not recognizing the severity of his 16 medication’s side effects. ECF No. 11 at 4. Plaintiff contends that the ALJ
17 misstated Plaintiff’s testimony, made impermissible presumptions, lacked to 18 sufficiently mention diarrhea, polyuria, or Plaintiff’s bathroom needs, and did not 19 state the extent of the frequency of diarrhea and urinary symptoms. ECF No. 11 at
20 4-7. Defendant responds that the ALJ reasonably discounted Plaintiff’s testimony 1 and Plaintiff’s claims of severity are not supported by the evidence. ECF No. 15 at 2 3-15.
3 The Appeals Council recognized the failure to properly consider Plaintiff’s 4 polyuria. Tr. 835. They noted that in February 2018 Plaintiff experienced polyuria 5 when taking 500 mg of metformin. Id. The ALJ notes that in October 2018,
6 Plaintiff asserted he was previously urinating ten times during a workday but now 7 only about five times a day. Tr. 835. Plaintiff also denied experiencing polyuria 8 many times, however, he did mention it in January 2024 without any indication of 9 frequency. Id. With this information, the ALJ did not find evidence that this
10 impairment requires further limitations because urinating five times a day is 11 normal. Tr. 835. 12 First, Plaintiff states the ALJ erred by focusing on Plaintiff’s diarrhea
13 complaint for his bathroom frequency instead of considering urinary purposes as a 14 reason, too. ECF No. 11 at 4. However, as established, the ALJ considered 15 Plaintiff’s frequency of bathroom use regarding diarrhea and urination in separate 16 sections. Tr. 833-35. Moreover, the record shows that Plaintiff denied these
17 impairments many times and does not support that the ALJ’s findings are not 18 substantially supported to show that these impairments restrict his work ability. 19 The ALJ referenced Plaintiff’s statements to providers and the medical record
20 1 showing multiple examples where the evidence supported the ALJ’s determination. 2 Id. Accordingly, the ALJ provided substantial evidence for her determination.
3 Second, Plaintiff alleges the ALJ made impermissible assumptions regarding 4 Plaintiff’s lack of weight loss from his alleged consistent diarrhea every 10-20 5 minutes. ECF No. 11 at 4-5. The ALJ found that if Plaintiff’s allegations were
6 true, it is likely that Plaintiff would experience weight loss but instead Plaintiff has 7 gained weight showing Plaintiff’s claims concerning the frequency of his diarrhea 8 are not supported. Tr. 834. Plaintiff continues that the evidence did not support 9 this, and the ALJ did not consider alternatives such as the amount may be small,
10 activity may have lessened, or Plaintiff increased his diet to compensate. ECF No. 11 11 at 5. Regardless, “[w]here evidence is susceptible to more than one rational 12 interpretation, it is the ALJ's conclusion that must be upheld.” Woods v. Kijakazi,
13 32 F.4th 785, 788 (9th Cir. 2022) (quoting Burch v. Barnhart, 400 F.3d 676, 679 14 (9th Cir. 2005)). Moreover, while the ALJ’s connection is not well supported, the 15 ALJ had other substantial reasons for her determination on Plaintiff’s diarrhea 16 impairment. Tr. 833-34. Therefore, this is only harmless error. Carmickle v.
17 Comm'r, Soc. Sec. Admin., 533 F.3d 1155, 1162 (9th Cir. 2008) (It is harmless 18 error when “the ALJ's remaining reasoning and ultimate credibility determination 19 were adequately supported by substantial evidence in the record.”).
20 1 Third, Plaintiff identifies that the ALJ erred when stating that the record 2 lacked sufficient references and statements concerning Plaintiff’s diarrhea and
3 polyuria. ECF No. 11 at 5. Plaintiff focuses on his complaints to providers and the 4 side effect of diarrhea from metformin. ECF No. 11 at 5. As previously stated, the 5 ALJ provided detailed background regarding Plaintiff’s metformin dosage because
6 the Appeals Council noted that dosage amounts were unclear. Tr. 833. As a result, 7 the ALJ determined that she cannot rely on evidence that Plaintiff’s diarrhea was 8 mild while being on 500mg of metformin since it is unclear what dosage Plaintiff 9 was taking during the period. Tr. 833. This inconsistency brought to light by the
10 Appeals Council further supports that Plaintiff’s unclear prescription amount is an 11 appropriate basis to discredit testimony. Tr. 833; 878. Therefore, the ALJ’s 12 reluctance to hold weight for unclear evidence is reasonable.
13 However, the Appeals Court noted reports of intermittent diarrhea dating 14 back to January 2016, prior to Plaintiff’s alleged prescription of 500 mg of 15 extended-release metformin. Tr. 878. Regardless, the ALJ still found Plaintiff 16 could work because the treatment notes only reference occasional reports of
17 diarrhea and Plaintiff has denied this being a problem or stated it as intermittent. 18 Tr. 833. Additionally, the ALJ noted that Plaintiff reported diarrhea in January 19 2024 and persistent diarrhea in March 2024 but did not provide specifics on
20 frequency. Id. 1 While some evidence supports this, the persistent diarrhea complaint 2 supports Plaintiff’s alleged severity, despite providing specifics on frequency. Tr.
3 834. Plaintiff refers to a February 2017 report stating diarrhea is intermittent, and 4 Dr. Varghese’s report from October 2018 where it states that Plaintiff reported 5 diarrhea about two times a day since being on metformin dosage of 850 mg and it
6 was causing an interference with his ability to work. ECF No. 11 at 5. However, it 7 was improving. Tr. 433. Additionally, Plaintiff was not reported as having this 8 issue in June 2017, July 2017, February 2018, May 2020, November 2020, April 9 2021, etc. Tr. 332, 394, 463, 751, 758, 771. Also, as previously stated, the report
10 notes his frequent urination about ten times for eight hours but without work he is 11 only urinating five times a day. Tr. 433. Nevertheless, the ALJ notes this visit but 12 clarifies this is the only time the frequency is specified and that this is not enough
13 to substantiate Plaintiff’s alleged need for the bathroom every ten to fifteen 14 minutes. Tr. 833-34. As a result, the record does not substantiate this claim and 15 the ALJ’s determination is reasonable and supported with sufficient evidence. 16 Fourth, Plaintiff states that the ALJ’s finding that he did not take bathroom
17 breaks during treatment visits does not consider alternative reasons for his lack of 18 breaks during treatment sessions. ECF No. 11 at 6. However, the ALJ is not 19 required to adopt other rational interpretations as long as the ALJ’s interpretation is
20 rational, too. Woods v. Kijakazi, 32 F.4th 785, 788 (9th Cir. 2022) (citing Burch v. 1 Barnhart, 400 F.3d 676, 679 (9th Cir. 2005)). In other words, the ALJ does not 2 need to consider every possible rational interpretation. Regardless, the ALJ has
3 provided substantial evidence of other legally sufficient reasons for her 4 determination. 5 Fifth, Plaintiff argues that the ALJ did not always mention the frequency of
6 Plaintiff’s diarrhea and urinary needs. ECF No. 11 at 6. Plaintiff focuses on the 7 Ninth Circuit’s reference that consistency does not mean that the claimant’s 8 medical status is the same over time and that a claimant’s periodic statement that 9 he is feeling better is not congruent with a claimant’s intent to overstate the
10 severity of his impairments. ECF No. 11 at 7 (citing Orn v. Astrue, 495 F.3d 625, 11 634 (9th Cir. 2007) and Reddick v. Chater, 157 F.3d 715, 724 (9th Cir. 1998)). 12 Moreover, Plaintiff emphasizes that the ALJ cannot determine that Plaintiff’s
13 subjective testimony is superfluous by requiring positive medical evidence to 14 corroborate each allegation. ECF No. 11 at 7. Again, the ALJ’s determination is 15 reasonable and supported by substantial evidence. Plaintiff’s focus on a few 16 reports or reasons does not negate the ALJ’s numerous references to evidence and
17 reports of improvement, intermittent issues, or absence of the issue at all. The 18 ALJ’s findings are substantially supported. 19 B. Mental Impairments
20 Plaintiff argues that the ALJ did not properly discount Plaintiff’s allegations 1 regarding Plaintiff’s mental exams, and the ALJ’s findings were not supported by 2 the record or that sufficient reasons were provided. ECF No. 11 at 7-11.
3 Defendant states the ALJ provided sufficient evidence of Plaintiff’s testimony. 4 ECF No. 15 at 3-15. 5 The ALJ states that Plaintiff referred to his depression as the primary reason
6 he was unable to work. Tr. 831. During the hearings, Plaintiff stated his 7 depression precluded him from working and clarified this was the reason for his 8 inability to work in 2016. Tr. 832. 9 The ALJ notes Plaintiff’s depression and anxiety but recognizes that
10 Plaintiff was reported as alert, oriented, with normal mood, affect, speech, 11 judgment, and insight. Tr. 835-36. Additionally, the ALJ notes that Plaintiff often 12 presents as cooperative, friendly, and engaged and exhibited a normal attention
13 span and ability to concentrate. Tr. 836. Generally, Plaintiff had unremarkable 14 presentation showing incompatibility with Plaintiff’s suggestions of “serious 15 cognitive, social, and mental dysfunction.” Id. 16 Moreover, the ALJ found that Plaintiff’s performance on mental status
17 exams did not support Plaintiff’s claims. He was generally found in the average 18 range and was able to complete the mental tasks with some errors. Tr. 835. In 19 February 2017, Plaintiff’s general cognitive abilities scored within the low range
20 for average intellectual functioning, but his thinking and reasoning abilities 1 exceeded 21% of those his age. Tr. 835. His working memory was borderline, and 2 he outperformed 6% of his peers. Id. Plaintiff’s verbal reasoning and perpetual
3 reasoning were average, too. Id. 4 First, Plaintiff contends that the ALJ improperly discounted Plaintiff’s 5 allegations because the mental status exam (MSE) and other relevant tests were
6 insufficiently severe. ECF No. 11 at 7-10. Plaintiff cites medical opinions that 7 state more severe limitations, however, these are later addressed. ECF No. 11 at 7- 8 8. Also, Plaintiff provides references to evidence to support that Plaintiff’s mental 9 state was more severe. ECF No. 11 at 7-10. These include reports that reference
10 Plaintiff’s depression or related symptoms. Tr. 719, 720, 417, 980, 989. 11 Also, the ALJ noted Plaintiff’s depression and anxiety in her decision but 12 found the entire record exhibits otherwise. Tr. 835-36. The ALJ provided many
13 indications of the opposite with no indications of limitations. Tr. 426, 430, 431, 14 725, 740, 741, 781, 836. Furthermore, Plaintiff’s citations and references do not 15 show how this limit or impairs Plaintiff’s ability or explains how the ALJ’s 16 interpretation is incorrect. Simply having an impairment does not result in severe
17 limitations. As a result, the ALJ’s decision is reasonable and supported with 18 sufficient evidence. 19
20 1 Second, Plaintiff argues that the ALJ’s social limitation allegations were not 2 supported by the record. ECF No. 11 at 10. Additionally, the ALJ erred when she
3 failed to explain which allegations were contradictory. ECF No. 11 at 10-12. 4 The ALJ found that Plaintiff was attending full-time school to learn welding 5 and made several friends and one close nearby friend. Tr. 836. Plaintiff went to
6 the gym three times a week and spent time with friends at Starbucks, going to 7 dinner and movies with friends, and showing and making art. Tr. 755, 836. In 8 November 2019, Plaintiff was reported to continue going to Starbucks and was 9 making more friends. Id. In March 2020, Plaintiff stated he went out with his
10 brother and two friends for his birthday and was going to Starbucks five days a 11 week. Tr. 787, 836. 12 The ALJ should clearly state which allegations are contradicted with what
13 evidence. See Patrece M. G. v. O'Malley, 2024 WL 2293004, at *7 (E.D. Wash. 14 May 21, 2024); Lambert, 980 F.3d at 1277 (9th Cir. 2020) (stating the ALJ’s duty 15 to provide clear and sufficient reasons). However, the ALJ states social limitations 16 and referenced Plaintiff’s testimony of a lack of friends and that he did not do
17 anything all day which the evidence directly contradicts. Tr. 832. However, the 18 ALJ could make the contradictions clearer for the Court’s review. 19 Lastly, Plaintiff argues that the ALJ erred when stating that Plaintiff’s
20 mental impairments may be explained by situational components. ECF No. 11 at 1 11. The ALJ confirmed many of Plaintiff’s mental health complaints are related 2 to “significant situational component[s].” Tr. 837. For example, he suffered
3 significant heartbreak after his girlfriend of ten years left him. Id. Plaintiff 4 experienced stress due to employment, finances and relationships. Tr. 837. Also, 5 he was frustrated with the pandemic, his mother, and financial difficulties. Id. The
6 ALJ notes that Plaintiff’s mental problems “appear to be due, at least in part, to 7 situational difficulties.” Tr. 837. 8 Plaintiff concedes that this is a sufficient reason to discount testimony, but 9 that the ALJ failed to show that the limitations were primarily from the situational
10 stressors. ECF No. 11 at 12. However, the caselaw Plaintiff cited, while not 11 binding, does not support Plaintiff’s allegation that the ALJ must show the 12 limitations were primarily from the stressors but requires that there must be
13 something to support the connection beyond the fact they occur simultaneously. 14 Brendan J. G. v. Comm'r, Soc. Sec. Admin., 2018 WL 3090200, at *7 (D. Or. June 15 20, 2018) (“Further, because mental health conditions may presumably cause 16 strained personal relations or other life stressors, the Court is not inclined to opine
17 that one has caused the other based only on the fact that they occur 18 simultaneously.”). As demonstrated, the ALJ provided evidence that the Plaintiff 19 made the connection between the impairments and the situations rather than
20 1 simultaneously occurring at the same time. The ALJ provided a reasonable 2 sufficient basis, and Plaintiff does not exhibit any error.
3 II. The ALJ did not err because the ALJ provided legally sufficient 4 reasons for weighing and discrediting the medical opinions. 5 Plaintiff argues that the ALJ did not properly assess the medical opinions.
6 ECF No. 11 at 12. Defendant responds that Plaintiff did not establish reversible 7 error. ECF No. 15 at 15-21. 8 20 C.F.R. § 416.927 governs the ALJ’s evaluation methods for opinion 9 evidence. The ALJ uses six different factors to weigh this type of evidence. §
10 416.927(c). These factors include: (1) examining relationship (2) treating 11 relationship, (3) supportability, (4) consistency, (5) specialization, and (6) other 12 factors. § 416.927(c). For a treating relationship, the ALJ also considers the
13 length of relationship, frequency of exams, and nature and extent of relationship. § 14 416.927(c)(2). 15 “A treating physician's medical opinion as to the nature and severity of an 16 individual's impairment must be given controlling weight if that opinion is well-
17 supported and not inconsistent with the other substantial evidence in the case 18 record.” Edlund v. Massanari, 253 F.3d 1152, 1157 (9th Cir.), as amended on 19 reh'g (Aug. 9, 2001) (citing SSR 96–2p). Even when the opinion is not
20 controlling, treating source medical opinions must still be given deference and be 1 weighed pursuant to § 416.927. SSR 96-2p; Edlund, 253 F.3d at 1157. 2 However, the ALJ is not required to “accept the opinion of any physician,
3 including a treating physician, if that opinion is brief, conclusory, and inadequately 4 supported by clinical findings.” Bray v. Comm'r of Soc. Sec. Admin., 554 F.3d 5 1219, 1228 (9th Cir. 2009) (quoting Thomas v. Barnhart, 278 F.3d 947, 957 (9th
6 Cir. 2002)) (internal quotations omitted). “And ‘[e]ven if contradicted by another 7 doctor,’ the testimony of a treating physician ‘can only be rejected for specific and 8 legitimate reasons that are supported by substantial evidence in the record.’” 9 Edlund, 253 F.3d at 1157 (citing Lester v. Chater, 81 F.3d 821, 829 (9th Cir. 1995)
10 as amended (Apr. 9, 1996)); Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 11 2005) (“To reject an uncontradicted opinion of a treating or examining doctor, an 12 ALJ must state clear and convincing reasons that are supported by substantial
13 evidence.”). 14 This requirement is met “by setting out a detailed and thorough summary of 15 the facts and conflicting clinical evidence, stating his interpretation thereof, and 16 making findings.” Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir. 1989)
17 (quoting Cotton v. Bowen, 799 F.2d 1403, 1408 (9th Cir. 1986)); Embrey v. 18 Bowen, 849 F.2d 418, 421–22 (9th Cir. 1988). “Where the Commissioner fails to 19 provide adequate reasons for rejecting the opinion of a treating or examining
20 physician, we credit that opinion ‘as a matter of law.’” Lester, 81 F.3d at 834 1 (quoting Hammock v. Bowen, 879 F.2d 498, 502 (9th Cir. 1989)). 2 Plaintiff states that the ALJ failed to properly assess and provide sustainable
3 reasons for discrediting the opinions of Thomas Genthe, M.D., R.A. Cline, Psy.D., 4 B. Beachy, Psy. D., and J. Hampton, M.D. ECF No. 11 at 12-13. Defendant 5 argues Plaintiff did not exhibit any reversible error. ECF No. 15 at 15.
6 Furthermore, Defendant states that the ALJ provided sufficient explanations for 7 these opinions and numerous other medical opinions that further support the ALJ’s 8 decision. ECF No. 15 at 11. 9 The ALJ addressed numerous medical providers with varying explanations
10 and provided weight. Tr. 837-44. The ALJ gave some weight to Thomas Genthe 11 and R.A. Cline’s opinions. Tr. 839. Neither Dr. Genthe nor Dr. Cline reviewed 12 any treatment records, however, they did examine Plaintiff and conduct mental
13 status testing. Tr. 839-40. The ALJ found their opinions consistent with the record 14 as a whole. Tr. 840. Additionally, the ALJ stated that limitations described are 15 only temporary and opined that Plaintiff could return to work within 12 months. 16 Tr. 840.
17 Dr. Genthe 18 The ALJ stated in Dr. Genthe’s February 2017 report, he indicated that 19 Plaintiff had only moderate limitations but was unlikely to function appropriately
20 until Plaintiff’s psychological symptoms were effectively managed. Tr. 839. Dr. 1 Genthe stated this would likely take three to six months. Tr. 839. With that, Dr. 2 Genthe states that Plaintiff would be able to resume full-time work-related
3 activities. Tr. 839. 4 Plaintiff states that Dr. Genthe actually opined that Plaintiff demonstrated 5 significant limitations in basic work activities, such as “asking simple questions or
6 requesting assistance, communicating or performing effectively, maintaining 7 appropriate behavior in a work setting, and completing a normal workday or week. 8 ECF Nos. 11 at 13; 17 at 3; Tr. 344. However, after reviewing Dr. Genthe’s 9 opinion, the Court fails to see where Plaintiff found this in Dr. Genthe’s referenced
10 opinion. Tr. 342-47. Dr. Genthe noted some errors in Plaintiff’s mental status 11 exams and the need to manage his psychological symptoms to adequately work. 12 Tr. 345. However, Dr. Genthe states that Plaintiff “failed to show significant
13 deficits.” Tr. 345. Additionally, Dr. Genthe marked each basic work activity as 14 either mild or moderate, not severe or marked. Tr. 344-45. Furthermore, the ALJ 15 addressed Dr. Genthe’s opinion regarding Plaintiff’s unlikeliness to currently 16 function appropriately but that with time and effective management, this could
17 change and allow Plaintiff to resume full-time work-related activities. Tr. 839; 18 345-46. Therefore, this argument fails to identify any error. 19 Dr. Cline
20 Concerning Dr. Cline’s December 2017 report, the ALJ noted that Dr. Cline 1 reported that Plaintiff had a “marked limitation in his ability to maintain 2 appropriate behavior in a work setting, but otherwise has no more than moderate
3 limitations in any other functional area.” Tr. 839. Dr. Cline’s assessment of 4 Plaintiff’s mental health issues is moderate and expected to persist for six to nine 5 months. Tr. 839.
6 Next, Plaintiff argues that Dr. Cline reached a similar conclusion, and that 7 she found Plaintiff had marked limitations. ECF No. 11 at 13; Tr. 409-10. 8 Plaintiff states that the ALJ referenced “temporary” limitations even though this 9 was not provided as a reason to discount their findings and confirms that together
10 they reach the durational requirement. ECF No. 11 at 13. The ALJ clearly 11 referred to the temporary nature and SSI durational requirement. Tr. 840. The 12 ALJ stated that the physicians “describe limitations of a temporary nature only, as
13 they all indicated the claimant would be expected capable of returning full-time 14 work in significantly less than 12 months (the required durational to establish 15 disability for SSI purposes).” Tr. 840. 16 Plaintiff continues that if the durational requirement was a basis for
17 discrediting the opinions, together they reach the requirement. ECF No. 11 at 14. 18 Dr. Genthe’s estimate of up to six months in February 2017, Dr. Cline’s estimate 19 of up to another nine months with the ALJ’s finding of Plaintiff’s depression,
20 anxiety, personality disorder, and learning disorder as severe in December 2017 1 combine to reach the durational requirement set forth in 20 C.F.R. § 416.923. Id. 2 Plaintiff does not provide support for this assertion. Johnson v. Colvin, 2013 WL
3 1774670, at *5 n.4 (E.D. Wash. Apr. 25, 2013) (stating that the plaintiff's argument 4 that two different medical opinions about estimated durations in combination will 5 satisfy the Social Security Act’s durational requirement is without factual or legal
6 support). Additionally, these do not combine to meet the continuous 12-month 7 requirement. Also, Plaintiff solely leans on the longer ends of the estimates. 8 Therefore, this argument fails. 9 Even more, the ALJ may hold weight differently based on the medical
10 source’s review of a claimant’s case or reports. 20 C.F.R. § 416.927 (“[T]he extent 11 to which a medical source is familiar with the other information in your case 12 record are relevant factors that we will consider in deciding the weight to give to a
13 medical opinion.”). 14 Dr. Beachy 15 Plaintiff finds issue with the ALJ’s determination of Dr. Beachy’s opinion 16 and the ALJ only restated the same conclusions that the Appeals Council rejected.
17 ECF No. 11 at 14-21. Also, among other errors, the ALJ’s reasoning does not 18 meet the specific and legitimate requirement. ECF No. 11 at 17. 19 The Appeals Council found that the ALJ’s previous decision about Dr.
20 Beachy was not supported by the substantial evidence. Tr. 849, 879. The Appeals 1 Council points out that the ALJ did not consider Dr. Beachy’s treatment notes that 2 support her own opinion and cites statements regarding Plaintiff’s ability to
3 understand, remember, and interact with others. Tr. 879. Moreover, Dr. Beachy’s 4 opinion dates to February 2017 with at least 38 occasions, not only a few dating 5 back in June 2018. Tr. 879. Additionally, the Appeals Council noted that the ALJ
6 did not explain how Dr. Beachy’s mention of Plaintiff’s goals undermine Dr. 7 Beachy’s opinion nor did the ALJ provide any analysis regarding Dr. Beachy’s 8 observations of Plaintiff’s rigid and concrete thinking, problem-solving, and 9 limited insight. Tr. 880. Lastly, while the ALJ noted Plaintiff’s art projects,
10 Plaintiff did not specify the amount of time spent on these activities. Tr. 880. 11 For this assessment, the ALJ gave little weight to Dr. Beachy’s opinions. Tr. 12 840. In June 2022 and February 2024, Dr. Beachy marked Plaintiff as having
13 markedly limited and severely limited for multiple activities. Tr. 974-77, 711-14. 14 However, in June 2018, Dr. Beachy found mostly moderate and mild limitations. 15 Tr. 402-406. 16 The ALJ found that due to Dr. Beachy’s expertise, she cannot adequately
17 provide opinions on limitations regarding Plaintiff’s diarrhea and fatigue and the 18 ALJ addressed these impairments elsewhere. Tr. 841. Continuing, the ALJ found 19 Dr. Beachy’s opinion and reflection of Plaintiff’s goals inconsistent. Tr. 842. Dr.
20 Beachy’s opinion about Plaintiff’s attention and performance of complex tasks is 1 contradicted by Plaintiff’s creation of jewelry and artwork. Tr. 842. The ALJ 2 deemed that Dr. Beachy’s checkbox forms do not provide clarification or specific
3 support. Id. 4 The ALJ noted that Dr. Beachy stated in her June 2022 assessment that 5 Plaintiff worked previously but that it was not feasible, and she had concerns about
6 his ability to maintain a regular schedule, interact with others and wondered about 7 his ability to accurately perceive situations. Tr. 842. The ALJ asserted that this 8 was vague and speculative, only providing little support for her proposed 9 limitations. Tr. 842. The ALJ further supports this, referencing Dr. Beachy’s
10 February 2024 comment that she could not imagine Plaintiff being a part of the 11 workforce. Tr. 843, 977. Furthermore, the ALJ stated that regarding Dr. Beachy’s 12 opinion on Plaintiff’s adaptability was not supported because he “has remained
13 quite adaptable despite being faced with a range of difficulties and challenging 14 circumstances.” Tr. 843. As a result, the ALJ did not find that Dr. Beachy’s 15 opinions were well-explained, well-supported by her own notes or consistent with 16 the record and gives them little weight. Tr. 843.
17 The ALJ explained that the ALJ did not find Dr. Beachy’s opinion as 18 supported or well-explained because she made conclusory and vague statements. 19 Tr. 840-43. This is a specific and legitimate reason to discount Dr. Beachy’s
20 opinions. Dr. Beachy’s vague statements about not being able to imagine Plaintiff 1 as participating in the work force and that it was hard to say how off-task he would 2 be without explanation is reasonable. Furthermore, the ALJ noted Dr. Beachy’s
3 treatment notes supporting the ALJ’s decision showing an inconsistency in Dr. 4 Beachy’s opinions of marked and extreme limitations. Tr. 827-843; Kaufmann v. 5 Kijakazi, 32 F.4th 843, 851 (9th Cir. 2022) (stating that the district court must
6 review all pages of the ALJ’s decision). This is directly stated when the ALJ 7 stated that her opinion is not consistent with the treating records, benign 8 observations, focus on situational components, and unremarkable mental status 9 examinations. Tr. 843. In short, Dr. Beachy’s opinion lacks specificity, detail or
10 explanation for the opined limitations. Tr. 842-843. The ALJ notes that Dr. 11 Beachy’s general assessment of severe and marked limitations is not supported by 12 the record as a whole or even parts of her own record. Id. This is substantially
13 supported, specific, and legitimate. 14 Plaintiff states that the ALJ noted the Appeals Council reasons but only 15 appeared to disagree and repeat the same rejected conclusions. ECF No. 11 at 17. 16 The ALJ recognized the Appeals Council’s concerns but states that the limitations
17 are noted and adjusted in the RFC. Tr. 841. For example, Dr. Beachy’s opinion on 18 Plaintiff’s rigid and concrete thinking, difficulty in problem solving and limited 19 insight was addressed in the RFC’s limitation for simple unskilled work. Id.
20 However, the ALJ continues that these observations were not reported consistently 1 but that the limitation is still addressed in the RFC. Tr. 842. Also, the ALJ 2 corrected that Dr. Beachy’s treatment with Plaintiff began in February 2017
3 instead of early 2018. Tr. 841. 4 Regarding the ALJ’s focus on Dr. Beachy’s statement and encouragement of 5 Plaintiff’s goal to seek gainful employment, this analysis is not supported by the
6 record or is a legitimate reason to discount testimony. Tr. 842. The ALJ’s 7 statement about how Dr. Beachy should treat or encourage Plaintiff does not show 8 any inconsistency or error rather than the ALJ’s opinion based on assumptions and 9 preferred treatment methods. Id. This is not a legitimate reason for the ALJ to
10 discount Dr. Beachy’s testimony. Nevertheless, it is unclear how this 11 interpretation of encouraging Plaintiff’s work goals supports or opposes Dr. 12 Beachy’s opinion or how it shows or disproves any limitation of Plaintiff.
13 Next, Plaintiff argues that the ALJ did not provide evidence or authority to 14 sufficiently conclude that creating art was complex or ambitious. ECF No. 11 at 15 18. While this conclusion may not be well-supported, the explanation itself is not 16 illogical. Nevertheless, the Appeals Council focused on the amount of time
17 Plaintiff spent on these activities. Tr. 840-41. The ALJ did not see why this was 18 relevant, however, the ALJ clarified this was to show that Plaintiff can focus, 19 maintain attention, and perform complex tasks that exhibit Plaintiff’s ability as
20 more competent and ambitious than Dr. Beachy opined. Tr. 842. However, it is 1 not clear that this clarification solves the Appeal Council’s concern. The ALJ still 2 does not provide a length of time or frequency and because the creation of art
3 being complex or ambitious is not dependent upon evidentiary supported 4 reasoning, this cannot stand alone to discredit Dr. Beachy’s opinion. 5 However, the ALJ further provides that Plaintiff’s previous skilled work as a
6 welder shows that this “coordinated work activity” likely exceeded the alleged 7 mental capacity of plaintiff. Tr. 842. Nevertheless, the ALJ recognizes this was an 8 unsuccessful work attempt but asserts that it shows unskilled work with limited 9 interaction with others may be possible. Id. This further discredits Dr. Beachy’s
10 stated limitations. Tr. 842. 11 Moreover, Plaintiff states that the ALJ did not meet her burden by claiming 12 Plaintiff has been adaptable despite Dr. Beachy’s opinion that he could not adapt to
13 his environment. Tr. 843. However, the ALJ states he is “quite adaptable despite 14 being faced with a range of difficulties and challenging circumstances.” Tr. 843. 15 While this Court would benefit from further clarity, the ALJ mentioned Plaintiff’s 16 difficulties and circumstances throughout the ALJ’s decision. Tr. 843. The ALJ
17 provided a legitimate reason with a broad explanation that lacks specificity about 18 Plaintiff’s adaptability. Id. Nevertheless, as previously stated, the ALJ provided 19 numerous other reasons to discredit Dr. Beachy’s opinions.
20 1 Then, Plaintiff contends that the ALJ discounting Dr. Beachy’s reports 2 because they used checkbox forms was also improper. Id. Defendant argues that
3 this is a sufficient reason to discount testimony. ECF No. 15 at 11. As previously 4 established, Dr. Beachy’s opinions used checkboxes with vague statements. Tr. 5 841-43. As the Ninth Circuit provides, “the ALJ may permissibly reject check-off
6 reports that do not contain any explanation of the bases of their conclusions.” Ford 7 v. Saul, 950 F.3d 1141, 1155 (9th Cir. 2020) (quoting Molina v. Astrue, 674 F.3d 8 1104, 1111 (9th Cir. 2012)). Therefore, Plaintiff did not identify an error here. 9 While the ALJ could provide specific citations and clearly detail her
10 decisions more throughout her opinion, when reviewing the record and ALJ’s 11 entire decision, the ALJ’s decision to provide Dr. Beachy’s opinion little weight is 12 not unsupported. However, the ALJ provided multiple insufficient reasons but
13 with other sufficient substantially supported reasons, it does not change the 14 outcome of the determination. See Carmickle v. Comm'r, Soc. Sec. Admin., 533 15 F.3d 1155, 1162 (9th Cir. 2008). 16 Dr. Hampton
17 Finally, Plaintiff claims the ALJ did not provide any sufficient reason to 18 discount J. Hampton, M.D. ECF No. 11 at 21; Tr. 972. Further, Dr. Hampton’s 19 opinion regarding Plaintiff’s absentee issue, diarrhea, and urinary impairments
20 compel a disability finding. Id. Defendant argues that Dr. Hampton’s report did 1 not give a specific functional limitation as required under 20 C.F.R. § 2 416.913(a)(2). ECF No. 15 at 19-20. Additionally, Defendant states that the ALJ
3 acknowledged the narrative explanations. ECF No. 15 at 20; Tr. 838. 4 Dr. Hampton noted Plaintiff’s increased symptoms when taking specific 5 medications. Tr. 971. Furthermore, Dr. Hampton noted Plaintiff’s depression but
6 believed it was controlled and did not find that if Plaintiff were to regularly and 7 continuously work that Plaintiff’s condition would deteriorate. Tr. 972. However, 8 Dr. Hampton did not opine the number of potentially missed days or hours by 9 Plaintiff due to medical impairments, other than noting Plaintiff would miss some
10 work. Tr. 972. The ALJ gave this opinion some weight and recognized the 11 narrative explanations are well-supported and reflective of the medical evidence. 12 Tr. 838.
13 While the ALJ provided reasons to give Dr. Hampton some weight, the ALJ 14 did not provide specific and legitimate reasons to discount Dr. Hampton’s opinion. 15 Edlund, 253 F.3d at 1157 (citing Lester v. Chater, 81 F.3d 821, 829 (9th Cir. 16 1995)) (specific and legitimate reasons are required for contradicted treating
17 medical opinions); Tr. 838. In other words, it is clear why Dr. Hampton opinion 18 was afforded some weight but not why Dr. Hampton’s opinion was not afforded 19 greater weight or why it was discounted at all. However, even if Dr. Hampton’s
20 opinion is credited as a matter of law, it does not ultimately determine that Plaintiff 1 is disabled or change the outcome of the ALJ’s decision. Lester, 81 F.3d at 834 2 (stating that without adequate reasons for rejecting a treating or examining medical
3 provider’s opinion, the opinion is credited as a matter of law). As stated, the ALJ 4 provided numerous other reasons and medical opinions to substantiate her 5 decision. Furthermore, Dr. Hampton’s statement that Plaintiff will miss some
6 work is not enough to reach a different conclusion. Dr. Hampton did not provide a 7 specific limitation or any specificity to Plaintiff’s absentee issue or impairments 8 that meets the requirements under the SSA to suggest a different outcome. 9 Nevertheless, the ALJ should try to provide a full record.
10 Defendant did not exhibit errors beyond harmless errors and the record, in 11 combination with the other medical opinions, provides substantial evidence for the 12 ALJ’s decision. Accordingly, the final decision of the Social Security
13 Commissioner is affirmed. 14 // 15 // 16 //
17 // 18 // 19 //
20 // ACCORDINGLY, IT IS HEREBY ORDERED: 2 1. Plaintiff's Opening Brief (ECF No. 11) is DENIED. 3 2. Defendant’s Response Brief (ECF No. 15) is GRANTED. The final 4 decision of the Social Security Commissioner is AFFIRMED. 5 The District Court Executive is directed to enter this Order, enter 6|| JUDGMENT for Defendant, furnish copies to counsel, and CLOSE the file. 7 DATED March 12, 2026.
<> United States District Judge 10 11 12 13 14 15 16 17 18 19 20
ORDER AFFIRMING COMMISSIONER’S DENIAL OF BENEFITS UNDER
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Cite This Page — Counsel Stack
Jamie M. v. Frank Bisignano, Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jamie-m-v-frank-bisignano-commissioner-of-social-security-waed-2026.