EASTERN DISTRICT OF WASHINGTON 1 Sep 21, 2022 2 SEAN F. MCAVOY, CLERK 3 4 5 UNITED STATES DISTRICT COURT 6 EASTERN DISTRICT OF WASHINGTON 7 ROBERT L., No. 2:21-CV-00095-JAG 8
9 Plaintiff, 10 v. ORDER GRANTING 11 DEFENDANT’S MOTION 12 KILOLO KIJAKAZI, FOR SUMMARY JUDGMENT ACTING COMMISSIONER OF 13 SOCIAL SECURITY, 1 14 Defendant. 15
17 BEFORE THE COURT are cross-motions for summary judgment. ECF 18 No. 19, 22. Attorney Chad Hatfield represents Robert L. (Plaintiff); Special 19 Assistant United States Attorney Lisa Goldoftas represents the Commissioner of 20 Social Security (Defendant). The parties have consented to proceed before a 21 magistrate judge. ECF No. 6. After reviewing the administrative record and the 22 briefs filed by the parties, the Court GRANTS Defendant’s Motion for Summary 23 Judgment and DENIES Plaintiff’s Motion for Summary Judgment. 24
25 1 Kilolo Kijakazi became the Acting Commissioner of Social Security on July 9, 26 2021. Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Kilolo 27 Kijakazi is substituted for Andrew M. Saul as the defendant in this suit. No further 28 action need be taken to continue this suit. See 42 U.S.C. § 405(g). 1 I. JURISDICTION 2 Plaintiff filed an application for Supplemental Security Income on January 3 10, 2019, alleging disability beginning February 1, 2013, due to asthma, sleep 4 apnea, insomnia, panic attacks, somatic symptom and related disorder, and back 5 pain. Tr. 104-05. The application was denied initially and upon reconsideration. Tr. 6 132-35, 139-45. Administrative Law Judge (ALJ) Mark Kim held a hearing on 7 July 20, 2020, Tr. 56-82, and issued an unfavorable decision on September 29, 8 2020. Tr. 17-27. Plaintiff requested review by the Appeals Council and the 9 Appeals Council denied the request on December 23, 2020. Tr. 1-5. The ALJ’s 10 September 2020 decision became the final decision of the Commissioner, which is 11 appealable to the district court pursuant to 42 U.S.C. § 405(g). Plaintiff filed this 12 action for judicial review on February 23, 2021. ECF No. 1. 13 II. STATEMENT OF FACTS 14 The facts of the case are set forth in detail in the transcript of proceedings 15 and only briefly summarized here. Plaintiff was born in 1994 and was 24 years old 16 when he filed his application. Tr. 26. He has an 11th grade education, and his only 17 work experience was working a few days at a carnival in 2012. Tr. 61, 75-76, 219. 18 He has alleged disability based on a combination of physical and mental 19 impairments as set forth herein and in the record before the Court. 20 III. STANDARD OF REVIEW 21 The ALJ is responsible for determining credibility, resolving conflicts in 22 medical testimony, and resolving ambiguities. Andrews v. Shalala, 53 F.3d 1035, 23 1039 (9th Cir. 1995). The ALJ’s determinations of law are reviewed de novo, with 24 deference to a reasonable interpretation of the applicable statutes. McNatt v. Apfel, 25 201 F.3d 1084, 1087 (9th Cir. 2000). The decision of the ALJ may be reversed 26 only if it is not supported by substantial evidence or if it is based on legal error. 27 Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999). Substantial evidence is 28 defined as being more than a mere scintilla, but less than a preponderance. Id. at 1 1098. Put another way, substantial evidence is such relevant evidence as a 2 reasonable mind might accept as adequate to support a conclusion. Richardson v. 3 Perales, 402 U.S. 389, 401 (1971). If the evidence is susceptible to more than one 4 rational interpretation, the Court may not substitute its judgment for that of the 5 ALJ. Tackett, 180 F.3d at 1097; Morgan v. Commissioner of Social Sec. Admin., 6 169 F.3d 595, 599 (9th Cir. 1999). If substantial evidence supports the 7 administrative findings, or if conflicting evidence supports a finding of either 8 disability or non-disability, the ALJ’s determination is conclusive. Sprague v. 9 Bowen, 812 F.2d 1226, 1229-1230 (9th Cir. 1987). Nevertheless, a decision 10 supported by substantial evidence will be set aside if the proper legal standards 11 were not applied in weighing the evidence and making the decision. Brawner v. 12 Secretary of Health and Human Services, 839 F.2d 432, 433 (9th Cir. 1988). 13 IV. SEQUENTIAL EVALUATION PROCESS 14 The Commissioner has established a five-step sequential evaluation process 15 for determining whether a person is disabled. 20 C.F.R. § 416.920(a); Bowen v. 16 Yuckert, 482 U.S. 137, 140-142 (1987). In steps one through four, the claimant 17 bears the burden of establishing a prima facie case of disability. Tackett, 180 F.3d 18 at 1098-1099. This burden is met once a claimant establishes that a physical or 19 mental impairment prevents the claimant from engaging in past relevant work. 20 20 C.F.R. § 416.920(a)(4). If a claimant cannot perform past relevant work, the ALJ 21 proceeds to step five, and the burden shifts to the Commissioner to show (1) the 22 claimant can make an adjustment to other work; and (2) the claimant can perform 23 specific jobs that exist in the national economy. Batson v. Comm’r of Soc. Sec. 24 Admin., 359 F.3d 1190, 1193-94 (9th Cir. 2004). If a claimant cannot make an 25 adjustment to other work in the national economy, the claimant will be found 26 disabled. 20 C.F.R. § 416.920(a)(4)(v). 27 28 1 V. ADMINISTRATIVE DECISION 2 On September 29, 2020, the ALJ issued a decision finding Plaintiff was not 3 disabled as defined in the Social Security Act. Tr. 17-27. 4 At step one, the ALJ found Plaintiff had not engaged in substantial gainful 5 activity since the application date. Tr. 20. 6 At step two, the ALJ determined Plaintiff had the following severe 7 impairments: major depressive disorder, personality disorder, pneumothorax, 8 asthma, and cannabis abuse. Id. 9 At step three, the ALJ found Plaintiff did not have an impairment or 10 combination of impairments that met or medically equaled the severity of one of 11 the listed impairments. Tr. 21-22. 12 The ALJ assessed Plaintiff’s Residual Functional Capacity (RFC) and found 13 he could perform light exertion work, with the following additional limitations:
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EASTERN DISTRICT OF WASHINGTON 1 Sep 21, 2022 2 SEAN F. MCAVOY, CLERK 3 4 5 UNITED STATES DISTRICT COURT 6 EASTERN DISTRICT OF WASHINGTON 7 ROBERT L., No. 2:21-CV-00095-JAG 8
9 Plaintiff, 10 v. ORDER GRANTING 11 DEFENDANT’S MOTION 12 KILOLO KIJAKAZI, FOR SUMMARY JUDGMENT ACTING COMMISSIONER OF 13 SOCIAL SECURITY, 1 14 Defendant. 15
17 BEFORE THE COURT are cross-motions for summary judgment. ECF 18 No. 19, 22. Attorney Chad Hatfield represents Robert L. (Plaintiff); Special 19 Assistant United States Attorney Lisa Goldoftas represents the Commissioner of 20 Social Security (Defendant). The parties have consented to proceed before a 21 magistrate judge. ECF No. 6. After reviewing the administrative record and the 22 briefs filed by the parties, the Court GRANTS Defendant’s Motion for Summary 23 Judgment and DENIES Plaintiff’s Motion for Summary Judgment. 24
25 1 Kilolo Kijakazi became the Acting Commissioner of Social Security on July 9, 26 2021. Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Kilolo 27 Kijakazi is substituted for Andrew M. Saul as the defendant in this suit. No further 28 action need be taken to continue this suit. See 42 U.S.C. § 405(g). 1 I. JURISDICTION 2 Plaintiff filed an application for Supplemental Security Income on January 3 10, 2019, alleging disability beginning February 1, 2013, due to asthma, sleep 4 apnea, insomnia, panic attacks, somatic symptom and related disorder, and back 5 pain. Tr. 104-05. The application was denied initially and upon reconsideration. Tr. 6 132-35, 139-45. Administrative Law Judge (ALJ) Mark Kim held a hearing on 7 July 20, 2020, Tr. 56-82, and issued an unfavorable decision on September 29, 8 2020. Tr. 17-27. Plaintiff requested review by the Appeals Council and the 9 Appeals Council denied the request on December 23, 2020. Tr. 1-5. The ALJ’s 10 September 2020 decision became the final decision of the Commissioner, which is 11 appealable to the district court pursuant to 42 U.S.C. § 405(g). Plaintiff filed this 12 action for judicial review on February 23, 2021. ECF No. 1. 13 II. STATEMENT OF FACTS 14 The facts of the case are set forth in detail in the transcript of proceedings 15 and only briefly summarized here. Plaintiff was born in 1994 and was 24 years old 16 when he filed his application. Tr. 26. He has an 11th grade education, and his only 17 work experience was working a few days at a carnival in 2012. Tr. 61, 75-76, 219. 18 He has alleged disability based on a combination of physical and mental 19 impairments as set forth herein and in the record before the Court. 20 III. STANDARD OF REVIEW 21 The ALJ is responsible for determining credibility, resolving conflicts in 22 medical testimony, and resolving ambiguities. Andrews v. Shalala, 53 F.3d 1035, 23 1039 (9th Cir. 1995). The ALJ’s determinations of law are reviewed de novo, with 24 deference to a reasonable interpretation of the applicable statutes. McNatt v. Apfel, 25 201 F.3d 1084, 1087 (9th Cir. 2000). The decision of the ALJ may be reversed 26 only if it is not supported by substantial evidence or if it is based on legal error. 27 Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999). Substantial evidence is 28 defined as being more than a mere scintilla, but less than a preponderance. Id. at 1 1098. Put another way, substantial evidence is such relevant evidence as a 2 reasonable mind might accept as adequate to support a conclusion. Richardson v. 3 Perales, 402 U.S. 389, 401 (1971). If the evidence is susceptible to more than one 4 rational interpretation, the Court may not substitute its judgment for that of the 5 ALJ. Tackett, 180 F.3d at 1097; Morgan v. Commissioner of Social Sec. Admin., 6 169 F.3d 595, 599 (9th Cir. 1999). If substantial evidence supports the 7 administrative findings, or if conflicting evidence supports a finding of either 8 disability or non-disability, the ALJ’s determination is conclusive. Sprague v. 9 Bowen, 812 F.2d 1226, 1229-1230 (9th Cir. 1987). Nevertheless, a decision 10 supported by substantial evidence will be set aside if the proper legal standards 11 were not applied in weighing the evidence and making the decision. Brawner v. 12 Secretary of Health and Human Services, 839 F.2d 432, 433 (9th Cir. 1988). 13 IV. SEQUENTIAL EVALUATION PROCESS 14 The Commissioner has established a five-step sequential evaluation process 15 for determining whether a person is disabled. 20 C.F.R. § 416.920(a); Bowen v. 16 Yuckert, 482 U.S. 137, 140-142 (1987). In steps one through four, the claimant 17 bears the burden of establishing a prima facie case of disability. Tackett, 180 F.3d 18 at 1098-1099. This burden is met once a claimant establishes that a physical or 19 mental impairment prevents the claimant from engaging in past relevant work. 20 20 C.F.R. § 416.920(a)(4). If a claimant cannot perform past relevant work, the ALJ 21 proceeds to step five, and the burden shifts to the Commissioner to show (1) the 22 claimant can make an adjustment to other work; and (2) the claimant can perform 23 specific jobs that exist in the national economy. Batson v. Comm’r of Soc. Sec. 24 Admin., 359 F.3d 1190, 1193-94 (9th Cir. 2004). If a claimant cannot make an 25 adjustment to other work in the national economy, the claimant will be found 26 disabled. 20 C.F.R. § 416.920(a)(4)(v). 27 28 1 V. ADMINISTRATIVE DECISION 2 On September 29, 2020, the ALJ issued a decision finding Plaintiff was not 3 disabled as defined in the Social Security Act. Tr. 17-27. 4 At step one, the ALJ found Plaintiff had not engaged in substantial gainful 5 activity since the application date. Tr. 20. 6 At step two, the ALJ determined Plaintiff had the following severe 7 impairments: major depressive disorder, personality disorder, pneumothorax, 8 asthma, and cannabis abuse. Id. 9 At step three, the ALJ found Plaintiff did not have an impairment or 10 combination of impairments that met or medically equaled the severity of one of 11 the listed impairments. Tr. 21-22. 12 The ALJ assessed Plaintiff’s Residual Functional Capacity (RFC) and found 13 he could perform light exertion work, with the following additional limitations:
14 [H]e can never climb ladders, ropes, or scaffolds; he must avoid 15 unprotected heights and avoid occasional exposure to pulmonary 16 irritants such as dust and smoke; he can perform simple, routine, and unskilled tasks with only occasional and simple changes in 17 the work setting; and work involving only occasional and 18 superficial interaction with the public and only superficial interaction with coworkers. 19
20 Tr. 22. 21 At step four, the ALJ found Plaintiff had no past relevant work. Tr. 26. 22 At step five, the ALJ determined that, based on the testimony of the 23 vocational expert, and considering Plaintiff’s age, education, work experience, and 24 RFC, Plaintiff could perform jobs that existed in significant numbers in the 25 national economy, including the jobs of housekeeper, routing clerk, and collator- 26 operator. Tr. 26-27. 27 28 1 The ALJ thus concluded Plaintiff was not under a disability within the 2 meaning of the Social Security Act at any time from the application date through 3 the date of the decision. Tr. 27. 4 VI. ISSUES 5 The question presented is whether substantial evidence supports the ALJ’s 6 decision denying benefits and, if so, whether that decision is based on proper legal 7 standards. 8 Plaintiff contends the ALJ erred by: (1) improperly evaluating the medical 9 opinion evidence; (2) improperly rejecting somatic symptom disorder as a severe 10 impairment at step two; (3) failing to find Plaintiff disabled at step three; (4) 11 improperly rejecting Plaintiff’s subjective complaints; and (5) conducting an 12 inadequate step five analysis. 13 VII. DISCUSSION 14 A. Medical Opinion Evidence. 15 Plaintiff argues the ALJ improperly disregarded the opinions from Dr. 16 Breedlove, Dr. Mitchell, and Dr. Kendall. ECF No. 19 at 8-14. 17 For claims filed on or after March 27, 2017, new regulations apply that 18 change the framework for how an ALJ must weigh medical opinion evidence. 19 Revisions to Rules Regarding the Evaluation of Medical Evidence, 2017 WL 20 168819, 82 Fed. Reg. 5844 (Jan. 18, 2017); 20 C.F.R. § 416.920c. The new 21 regulations provide the ALJ will no longer give any specific evidentiary weight to 22 medical opinions or prior administrative medical findings, including those from 23 treating medical sources. 20 C.F.R. § 416.920c(a). Instead, the ALJ will consider 24 the persuasiveness of each medical opinion and prior administrative medical 25 finding, regardless of whether the medical source is an Acceptable Medical Source. 26 20 C.F.R. § 416.920c(c). The ALJ is required to consider multiple factors, 27 including supportability, consistency, the source’s relationship with the claimant, 28 any specialization of the source, and other factors (such as the source’s familiarity 1 with other evidence in the file or an understanding of Social Security’s disability 2 program). Id. The regulations make clear that the supportability and consistency of 3 an opinion are the most important factors, and the ALJ must articulate how they 4 considered those factors in determining the persuasiveness of each medical opinion 5 or prior administrative medical finding. 20 C.F.R. § 416.920c(b). The ALJ may 6 explain how they considered the other factors, but is not required to do so, except 7 in cases where two or more opinions are equally well-supported and consistent 8 with the record. Id. 9 Supportability and consistency are further explained in the regulations:
10 (1) Supportability. The more relevant the objective medical 11 evidence and supporting explanations presented by a 12 medical source are to support his or her medical opinion(s) or prior administrative medical finding(s), the more 13 persuasive the medical opinions or prior administrative 14 medical finding(s) will be.
15 (2) Consistency. The more consistent a medical opinion(s) or 16 prior administrative medical finding(s) is with the evidence from other medical sources and nonmedical 17 sources in the claim, the more persuasive the medical 18 opinion(s) or prior administrative medical finding(s) will 19 be.
20 20 C.F.R. § 416.920c(c). The Ninth Circuit has additionally held that the new 21 regulatory framework displaces the longstanding case law requiring an ALJ to 22 provide “specific and legitimate” or “clear and convincing” reasons for rejecting a 23 treating or examining doctor’s opinion. Woods v. Kijakazi, 32 F.4th 785 (9th Cir. 24 2022). 25 1. Dr. Dominika Breedlove and Dr. Melanie Mitchell. 26 Plaintiff attended a consultative psychological exam with Dr. Breedlove in 27 December 2018, the month prior to filing his SSI application. Tr. 419-23. Dr. 28 1 Breedlove noted diagnoses of unspecified somatic symptoms and related disorder 2 (rule out somatic symptom disorder pending more information), and unspecified 3 anxiety disorder (rule out PTSD). Tr. 421. She opined Plaintiff would be markedly 4 impaired in his ability to perform activities within a schedule, maintain regular 5 attendance, and be punctual within customary tolerances without special 6 supervision; maintain appropriate behavior in a work setting; complete a normal 7 work day and work week without interruptions from psychologically based 8 symptoms; and set realistic goals and plan independently. Id. She otherwise found 9 Plaintiff had none to moderate limitations in other work-related areas of 10 functioning. Id. 11 The ALJ found this opinion to be unpersuasive, noting the limitations were 12 inconsistent with the generally moderate exam findings noted in the report, and 13 finding the opinion to be inconsistent with the relatively normal findings 14 throughout the record (outside of an exacerbation in the summer of 2019). Tr. 25- 15 26. The ALJ further noted that the evaluation was performed just prior to the 16 relevant period and therefore was not especially representative of Plaintiff’s 17 subsequent functioning. Id.2 18 Plaintiff argues the report contains sufficient findings with respect to focus 19 and concentration to support the marked limitations Dr. Breedlove assessed, and 20
21 2 The ALJ also found that Dr. Breedlove’s explanation regarding Plaintiff’s 22 nonexistent work history and poor insight improperly comingled reasons for 23 limiting Plaintiff that were not related to his medically determinable impairments. 24 Tr. 25. However, this portion of Dr. Breedlove’s opinion related specifically to her 25 statement that vocational training or services may minimize or eliminate barriers to 26 employment, and was not offered as justification for the specific work-related 27 limitations she assessed. Tr. 422. Therefore, this reasoning is not relevant to the 28 ALJ’s rejection of Dr. Breedlove’s opinion. 1 argues that the record shows significant mental health symptoms throughout the 2 relevant period and not just during the summer of 2019. ECF No. 19 at 8-10. 3 Defendant argues the ALJ reasonably found the opinion to be inconsistent with the 4 longitudinal evidence and unsupported by the mostly moderate findings on exam. 5 ECF No. 22 at 11-13. Defendant further notes that Dr. Breedlove herself 6 acknowledged the problematic nature of her assessment, noting the scope of the 7 exam was limited for a case of this complexity. Id. at 13. 8 The Court finds the ALJ did not err. With respect to supportability, the ALJ 9 reasonably found the assessed limitations to be inconsistent with the generally 10 moderate findings. Tr. 25. While Dr. Breedlove noted limited insight and excessive 11 focus on somatic symptoms, the remainder of the mental status exam was within 12 normal limits. Tr. 422-23. With respect to consistency, the ALJ noted the relatively 13 unremarkable findings throughout the record other than the increase in symptoms 14 in June 2019. Tr. 24, 26. Other than presenting as tearful at a counseling 15 appointment in October 2019 (Tr. 463-64), the record contains no notable objective 16 observations of Plaintiff’s mental status outside of the June 2019 exacerbation. 17 Though Plaintiff offers an alternative interpretation of the record, “when the 18 evidence is susceptible to more than one rational interpretation, we must uphold 19 the ALJ’s findings if they are supported by inferences reasonably drawn from the 20 record.” Molina v. Astrue, 674 F.3d 1104, 1111 (9th Cir. 2012). The Court finds 21 the ALJ reasonably discussed the most relevant factors in assessing the 22 persuasiveness of Dr. Breedlove’s opinion. 23 Following Dr. Breedlove’s assessment, Plaintiff’s DSHS file was reviewed 24 by Dr. Melanie Mitchell. Tr. 493. Dr. Mitchell reviewed another assessment from 25 2017 and one treatment record, and indicated her agreement with the diagnoses and 26 functional limitations assessed by Dr. Breedlove. Id. The ALJ found this opinion 27 unpersuasive, as Dr. Mitchell reviewed only a small portion of the evidence from 28 prior to the relevant period, and thus her opinion was subject to the same deficits in 1 supportability and consistency as applied to Dr. Breedlove. Tr. 26. The Court finds 2 the ALJ did not err with respect to Dr. Mitchell because the assessment of Dr. 3 Breedlove’s opinion was sufficient. 4 2. Dr. Lauren Kendall. 5 Plaintiff’s treating physician, Dr. Kendall, completed a medical source 6 statement in August 2020. Tr. 495-97. She noted diagnoses of chronic low back 7 pain, major depression vs. borderline personality disorder, seizures, and 8 pneumothorax. Tr. 495. She opined Plaintiff was limited to light work, would miss 9 four or more days of work per month, would be off-task 30% of the time, and that 10 work would cause his condition to deteriorate as his mood disorder worsens with 11 stress of any kind. Tr. 495-97. 12 The ALJ found this opinion unpersuasive, noting it was unsupported by the 13 largely unremarkable treatment notes outside of Plaintiff’s mental status in June 14 2019. Tr. 25. The ALJ further noted that Dr. Kendall only saw Plaintiff twice 15 during the relevant period, and that the rest of the medical evidence showed few 16 findings of distress and minimal care for physical complaints. Id. 17 Plaintiff argues that the lack of findings in the record does not indicate 18 Plaintiff was stable and functioning normally, but rather is a reflection of his lack 19 of treatment, which is a factor of his mental condition. ECF No. 19 at 11-12. 20 Plaintiff further argues that the ALJ overlooked the nature of Plaintiff’s somatic 21 symptom disorder, which tends to support the disabling opinion in the absence of 22 severe objective findings. Id. at 12-13. Defendant argues the ALJ reasonably found 23 the treatment notes to be largely unremarkable and unsupportive of the extreme 24 limitations and to be inconsistent with the medical evidence at large, which did not 25 contain treatment or findings consistent with Dr. Kendall’s opinion. ECF No. 22 at 26 14-16. 27 The Court finds the ALJ did not err. The ALJ reasonably discussed the most 28 important factors of consistency and supportability, and reasonably interpreted the 1 records as not containing sufficient remarkable findings from either Dr. Kendall or 2 other providers to support the extent of the limitations assessed. Though Plaintiff 3 points to his somatic symptom disorder as the explanation for the lack of 4 supportive physical findings, Dr. Kendall did not include this as a diagnosis. 5 Tr. 495. As discussed further below, the ALJ did not err in excluding this as a 6 severe impairment. Therefore, the Court finds no error in the ALJ’s discussion of 7 Dr. Kendall. 8 B. Plaintiff’s Subjective Complaints. 9 Plaintiff alleges the ALJ erred in rejecting his symptom testimony without 10 providing adequate reasons. ECF No. 19 at 17-20. 11 It is the province of the ALJ to make determinations regarding a claimant’s 12 subjective reports. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). 13 However, the ALJ’s findings must be supported by specific cogent reasons. 14 Rashad v. Sullivan, 903 F.2d 1229, 1231 (9th Cir. 1990). Absent affirmative 15 evidence of malingering, the ALJ’s reasons for rejecting a claimant’s testimony 16 must be “specific, clear and convincing.” Smolen v. Chater, 80 F.3d 1273, 1281 17 (9th Cir. 1996); Lester v. Chater, 81 F.3d 821, 834 (9th Cir. 1995). 18 The ALJ found Plaintiff’s medically determinable impairments could 19 reasonably be expected to cause the alleged symptoms; however, he found 20 Plaintiff’s statements concerning the intensity, persistence and limiting effects of 21 his symptoms were not entirely consistent with the medical evidence and other 22 evidence in the record. Tr. 23. Specifically, the ALJ found Plaintiff’s allegations to 23 be undermined by the largely unremarkable physical evidence, no more than 24 moderate psychological findings, Plaintiff’s conservative treatment and refusal of 25 medication, his unusually high symptom reports without associated objective 26 findings, and his exceptionally poor work history. Tr. 23-24. 27 Plaintiff argues the ALJ improperly rejected his allegations based on a lack 28 of objective evidence, which is not a sufficient basis on its own. ECF No. 19 at 17. 1 He further argues that the lack of treatment is a factor of his mental health 2 impairments, which lead to anxiety and difficulty leaving the house, including for 3 seeking medical treatment. Id. at 17-19. Finally, he asserts that his weak work 4 history is a function of his conditions and lifelong mental and physical abuse. 5 Id. at 20. Defendant argues the ALJ reasonably interpreted the record in finding 6 Plaintiff’s allegations to be unsupported, and reasonably considered the factors of 7 lack of treatment for supposedly severe impairments, unreliably high self-reports 8 of symptoms, and a poor work history. ECF No. 22 at 3-9. 9 The Court finds the ALJ did not err. An ALJ may consider evidence of the 10 type and effectiveness of treatments received in assessing the reliability of a 11 claimant’s symptom allegations. 20 C.F.R. § 416.929(c)(3); Social Security Ruling 12 16-3p. Furthermore, unexplained or inadequately explained reasons for failing to 13 seek medical treatment or follow a prescribed course of treatment can cast doubt 14 on a claimant’s subjective complaints. Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 15 1989). The ALJ reasonably considered the lack of treatment Plaintiff received for 16 his supposedly disabling conditions in finding his reports to be unsupported. 17 Tr. 23-24. While Plaintiff argues that it was his mental health that prevented him 18 from seeking more treatment, the ALJ considered this explanation and found that it 19 did not adequately explain the failure, particularly given his ability to seek medical 20 attention when he needed to and the lack of even emergency visits for his mental 21 impairments. Tr. 24. This was a reasonable interpretation of the record. 22 Although it cannot serve as the sole ground for rejecting a claimant’s 23 symptom statements, objective medical evidence is a “relevant factor in 24 determining the severity of the claimant’s pain and its disabling effects.” Rollins v. 25 Massanari, 261 F.3d 853, 857 (9th Cir. 2001). The ALJ’s interpretation of the 26 record as lacking in objective findings to support Plaintiff’s alleged physical and 27 mental limitations is reasonable. 28 1 Finally, the Ninth Circuit has held that an ALJ may consider a claimant’s 2 lack of work history in assessing the reliability of their alleged disability. Thomas 3 v. Barnhart, 278 F.3d 947, 959 (9th Cir. 2002) (ALJ’s finding that the claimant had 4 limited work history and “has shown little propensity to work in her lifetime” was 5 a specific, clear, and convincing reason for discounting the claimant’s testimony.). 6 Plaintiff’s only work experience was working for a few days at a carnival. Tr. 75- 7 76. 8 Accordingly, the ALJ gave clear and convincing reasons for finding 9 Plaintiff’s subjective reports to be unreliable and the ALJ did not err in assessing 10 Plaintiff’s subjective complaints. 11 C. Step Two. 12 Plaintiff argues the ALJ erred in failing to find somatic symptom disorder to 13 be a severe impairment. ECF No. 19 at 14-15. 14 At step two of the sequential evaluation process, the ALJ must determine 15 whether the claimant has any medically determinable severe impairments. 20 16 C.F.R. § 416.920(a)(ii). An impairment is “not severe” if it does not “significantly 17 limit” the ability to conduct “basic work activities.” 20 C.F.R. § 416.922(a). Basic 18 work activities are “abilities and aptitudes necessary to do most jobs.” 20 C.F.R. § 19 416.922(b). “An impairment or combination of impairments can be found not 20 severe only if the evidence establishes a slight abnormality that has no more than a 21 minimal effect on an individual’s ability to work.” Smolen v. Chater, 80 F.3d 1273, 22 1290 (9th Cir. 1996) (internal quotation marks omitted). The claimant bears the 23 burden of demonstrating that an impairment is medically determinable and severe. 24 Valentine v. Comm’r Soc. Sec. Admin., 574 F.3d 685, 689 (9th Cir. 2009). 25 The ALJ identified several severe impairments at step two, including major 26 depressive disorder, personality disorder, pneumothorax, asthma, and cannabis 27 abuse. Tr. 20. The ALJ additionally found Dr. Breedlove’s diagnosis of 28 unspecified somatic symptom disorder to not be medically determinable, as it was 1 not repeated by any of the treating providers and the longitudinal medical evidence 2 did not provide sufficient objective evidence to establish it as an impairment. 3 Tr. 21. 4 Plaintiff argues the ALJ erred by failing to find somatic symptom disorder to 5 be a severe medically determinable impairment, as the standard is not whether 6 other providers diagnosed it, but whether it causes limitations on the individual’s 7 ability to work. ECF No. 19 at 14-15. Plaintiff argues the record shows his 8 tendency to focus on his somatic complaints, and thus the ALJ harmfully erred in 9 rejecting it as a severe impairment. Id. Defendant argues the ALJ reasonably 10 concluded this was not a medically determinable impairment, as Dr. Breedlove’s 11 diagnosis was “unspecified” and a “rule out” diagnosis pending more information, 12 and that the record did not contain any other provider’s diagnosis of this condition. 13 ECF No. 22 at 16-17. Defendant further argues that even if the ALJ erred, it was 14 harmless as the ALJ did not conclude the analysis at step two and reasonably 15 considered all of Plaintiff’s combined symptoms. Id. at 18. 16 The Court finds the ALJ did not err. The step-two analysis is “a de minimis 17 screening device used to dispose of groundless claims.” Webb v. Barnhart, 433 18 F.3d 683, 687 (9th Cir. 2005). Because the ALJ did not end the analysis at step 19 two, any error in the precise labeling of Plaintiff’s mental health diagnoses is 20 harmless. Other than the limits assessed by Dr. Breedlove, which the ALJ 21 appropriately found to be unpersuasive, Plaintiff has not identified any functional 22 limits stemming from his supposed somatic symptom disorder that were not 23 accounted for under the diagnoses of major depressive disorder and personality 24 disorder. Therefore, the ALJ did not err. 25 26 27 28 1 D. Step Three. 2 At step three of the sequential evaluation process, the ALJ considers whether 3 one or more of the claimant’s impairments meets or equals an impairment listed in 4 Appendix 1 to Subpart P of the regulations. 20 C.F.R. § 416.920(a)(4)(iii). Each 5 Listing sets forth the “symptoms, signs, and laboratory findings” which must be 6 established for a claimant’s impairment to meet the Listing. Tackett v. Apfel, 180 7 F.3d 1094, 1099 (9th Cir. 1999). If a claimant meets or equals a Listing, the 8 claimant is considered disabled without further inquiry. 20 C.F.R. § 416.920(d). 9 Plaintiff argues the ALJ erred in failing to find his mental conditions met or 10 equaled one of the 12.00 Listings, in combination or specifically Listing 12.07 for 11 somatic disorders. ECF No. 19 at 15-16. Plaintiff further argues the ALJ erred in 12 summarily finding the “Paragraph C” criteria were not met despite evidence of 13 Plaintiff becoming easily overwhelmed and losing the ability to function 14 adequately. Id. at 16. Defendant argues the ALJ reasonably discussed the 15 Paragraph B criteria and asserts Plaintiff has failed to advance any plausible theory 16 for how the criteria of any listing are met or equaled. ECF No. 22 at 18-20. 17 The Court finds the ALJ did not err. Plaintiff has not offered any analysis of 18 the record or pointed to any objective evidence establishing the criteria of the 19 listings. ECF No. 19 at 15-17. To the extent Plaintiff implies a listing would have 20 been met or equaled had the ALJ credited any of the medical opinions he found to 21 be unpersuasive, the Court finds the ALJ did not err with respect to the evaluation 22 of the medical opinions. Accordingly, this argument is without merit. 23 E. Step Five. 24 Plaintiff argues that the step five findings are not supported because the ALJ 25 posed an incomplete hypothetical to the vocational expert. ECF No. 19 at 20-21. 26 This argument is premised on successfully showing that the ALJ erred in his 27 treatment of the symptom statements and medical opinions. Because the Court 28 1 || finds that the ALJ did not harmfully err in his treatment of Plaintiff's symptom 2 || statements and the medical evidence, the argument is also without merit. 3 Vii. CONCLUSION 4 Having reviewed the record and the ALJ’s findings, the Court finds the 5 || ALJ’s decision is supported by substantial evidence and free of legal error. 6|| Therefore, IT IS HEREBY ORDERED: 7 1. Defendant’s Motion for Summary Judgment, ECF No. 22, is GRANTED. 9 2. Plaintiff's Motion for Summary Judgment, ECF No. 19, is DENIED. 10 The District Court Executive is directed to file this Order and provide a copy to counsel for Plaintiff and Defendant. Judgment shall be entered for Defendant and the file shall be CLOSED. 13 DATED September 21, 2022.
JAMES A. GOEKE 16 [a UNITED STATES MAGISTRATE JUDGE 17 18 19 20 21 22 23 24 25 26 27 28