(SS) Gabriel v. Commissioner of Social Security

Opinion

TRENTON LYDELL GABRIEL, Case No. 1:21-cv-00390-CDB Plaintiff, ORDER REMANDING THIS MATTER FOR FURTHER PROCEEDINGS UNDER v. SENTENCE FOUR OF 42 U.S.C. § 405(g) COMMISSIONER OF SOCIAL (Docs. 18, 22) SECURITY, Defendant. Trenton Lydell Gabriel (“Plaintiff”) seeks judicial review of a final decision of the Commissioner of Social Security (“Commissioner” or “Defendant”) denying his application for disability insurance benefits under the Social Security Act. (Doc. No. 1). The matter is currently before the Court on the certified administrative record (Doc. 12) and the parties’ briefs, which were submitted without oral argument. (Docs. 18, 22-23).1 Plaintiff asserts the Administrative Law Judge (“ALJ”) failed to include work-related limitations in the residual functional capacity finding consistent with the nature and intensity of Plaintiff’s limitations and failed to offer any reason for discounting Plaintiff’s symptomology testimony. (Doc. 18 at 9-11). Plaintiff requests the decision of the Commissioner be vacated and the case be remanded for further proceedings 1 Both parties have consented to the jurisdiction of a magistrate judge for all proceedings in this action, in accordance with 28 U.S.C. § 636(c)(1). (Doc. 11). and proper evaluation of the evidence. Id. at 11. A. Administrative Proceedings On July 1, 2016, Plaintiff protectively applied for supplemental security income benefits pursuant to Title XVI of the Social Security Act (the “Act”), 42 U.S.C. § 401 et seq., alleging a period of disability beginning on April 8, 2015. (Administrative Record (“AR”) 20, 238-39 ).2 Plaintiff was 44 years old on the alleged disability onset date. Id. at 238. Plaintiff claimed disability due to lower back compression, arthritis in both knees, hearing voices, seeing things, poor memory, anxiety, and depression. Id. at 268, 388. The Commissioner denied Plaintiff’s application initially and again on reconsideration. Id. at 166-69, 175-80. Plaintiff submitted a written request for a hearing by an ALJ. Id. at 182- 84. On April 11, 2019, Plaintiff, represented by counsel, appeared in person for a hearing held before ALJ Shiva Bozarth. Id. at 42-77. Vocational expert (“VE”) Gayle Tichauer also testified at the hearing via telephone. Id. at 44, 72-76. B. Medical Record The relevant medical record was reviewed by the Court and will be referenced below as necessary to this Court’s decision. C. Hearing Testimony Plaintiff testified he believed the last time he worked was in 2014. (AR 50). Plaintiff expressed he was unsure about the date as he had memory issues stemming from a head injury. Id. Plaintiff reported he resided in a “permanent supported living” apartment with a roommate. Id. at 51, 55. Plaintiff stated his roommate “usually cooks, because he’s a good cook” and his roommate’s care provider washed the dishes. Id. Plaintiff noted he would try to keep his room clean but “[i]t’s usually a mess.” Id. at 52. Plaintiff testified he did laundry once a week but had trouble due to pain in his hands, knees, and back. Id. at 52-53.

2 On November 21, 2011, Plaintiff applied for supplemental security income, alleging disability beginning on October 3, 2008. (AR 113). On April 7, 2015, ALJ John Cusker issued a decision finding Plaintiff was not disabled under §1614(a)(3)(A) of the Act. Plaintiff testified he did his grocery shopping once a week but found it difficult to be around people. See id. at 53 (“I have a nervous condition of being around people”). Plaintiff noted he tries to go to the grocery store later in the evening when there are fewer people. Id. at 54. Plaintiff asserted that his aversion to people wouldn’t prevent him from going to the store “but it just would make things harder for me.” Id. at 54. Plaintiff stated he did not like leaving his apartment in the morning because he heard “angry voices.” Id. Plaintiff noted these voices occurred “on a daily basis” and he felt “somebody is trying to hurt me.” Id. at 54, 60-61. Plaintiff also alleged he experienced visual hallucinations two to three times a week. Id. at 61-62. Plaintiff asserted he suffered from panic attacks that last from 30 minutes to an hour and occurred every day. Id. at 62-64. Plaintiff testified he suffered from depression. Id. at 63. Plaintiff claimed his depression gave him feelings of hopelessness and unable/not wanting to do anything except sleep. Id. at 63. Plaintiff testified Fresno Behavioral doctors determined he was unable to care for himself. Id. at 55. Plaintiff noted he saw a psychologist once every other month and a therapist once a week. Id. Plaintiff stated he used illegal drugs six months prior but was currently sober. Id. at 55-56. Plaintiff testified he requires assistance in taking his prescribed medicine. Id. at 56. Plaintiff claimed he needed someone to remind him two or three times a week to take his medicine. Id. at 59. Plaintiff testified every so often he took public transportation but found it challenging because “I don’t like to be around people.” Id. at 70. The ALJ proffered a hypnotical to the VE of an individual with the same age, education, and work experience as the Plaintiff, who could lift or carry 20 pounds occasionally, 10 pounds frequently, could stand, walk or sit for at least six out of eight hours, occasionally crouch, kneel, or crawl. Id. at 73. Further, this proposed individual was limited to simple routine tasks, would need 10-minute breaks every two hours, and would be able to have occasional contact with supervisors and coworkers, but no more than incidental contact with the general public. Id. The VE opined that this individual could perform jobs such as a housekeeping cleaner, merchandise makers, and routing clerks. Id.

D. The ALJ’s Decision On July 17, 2019, the ALJ issued a decision finding that Plaintiff was not disabled. (AR 20-30). The ALJ conducted the five-step disability analysis set forth in § 416.920(a). Id. at 21. The ALJ found Plaintiff had not engaged in substantial gainful activity since July 1, 2016, the application date (step one). Id. at 23. The ALJ held Plaintiff possessed the following severe impairments: adjustment disorder, amphetamine dependence in remission, major depressive disorder with psychotic features, chronic pain, mood disorder, unspecified schizoaffective disorder, and post-concussion syndrome (step two). Id. The ALJ Plaintiff also noted Plaintiff had mild anterior wedging at L1 and L2 of the lumbar spine, multilevel facet arthropathy, gastritis, allergic rhinitis, hypertension, and hyperlipidemia. Id. However, the ALJ found these impairments imposed at most a minimal functional limitation on Plaintiff’s ability to work and were therefore “not severe.” Id. Next, the ALJ determined Plaintiff did not have an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1 ("the Listings") (step three). Id. at 23-24. The ALJ then assessed Plaintiff’s residual functional capacity (“RFC”). Id. at 24. The ALJ found that Plaintiff retained the RFC:

“to perform light work as defined in 20 CFR 416.967(b) except he can lift and carry 20 pounds occasionally and 10 pounds frequently; stand, walk, and sit at least six hours each in an eight-hour workday, and occasionally crouch, kneel or crawl. The claimant can perform simple routine tasks. He needs a 10 minute [sic] break every two hours, and he can tolerate occasional contact with supervisors and coworkers and no more than incidental contact with the general public.” Id. Although the ALJ recognized that Plaintiff’s impairments could reasonably be expected to cause his alleged symptoms, the ALJ concluded that Plaintiff’s statements concerning the intensity, persistence and limiting effects of his symptoms were not entirely consistent with the medical evidence and other evidence in the record. Id. at 24-25. Specifically, the ALJ noted that while Plaintiff claimed to suffer from “debilitating physical issues,” medical records showed Plaintiff sought only minimal treatment for physical impairments. Further, the ALJ pointed to Plaintiff’s recurring physical activities of riding a bicycle and being able to walk a mile. Similarly, the ALJ acknowledged that Plaintiff expressed “doing well” after spending 14 hours loading furniture onto a truck approximately nine months prior to the hearing. And the ALJ pointed out that there were “inconsistencies in the claimant’s alleged sobriety.” Id. at 25. Specifically, the ALJ noted in June 2017, Plaintiff said he had not used meth since 2013, but three months prior, he reported he had last used a few months prior. Id. The ALJ considered the reports of Fresno County Behavioral Health Services (“Fresno Health”). Id. at 25-26. The ALJ found the reports indicated Plaintiff’s mental status exam in July 2017, was normal except for reports of hallucinations, impaired insight, and judgment. Id. at 26. The ALJ noted Plaintiff participated in counseling, learned coping skills, and expressed an interest in working again and being in his daughter’s life. Id. at 26. The ALJ considered the report of Ekram Michiel MD. Id. at 27. Dr. Michiel diagnosed Plaintiff with a psychotic disorder not otherwise specified with a GAF of 55. Id. Dr. Michiel opined Plaintiff was able to maintain attention and concentration to carry out simple job instructions and relate and interact with coworkers, supervisors, and the general public while in the routine setting of performing simple job instructions. Id. Dr. Michiel found Plaintiff was unable to maintain attention and concentration to carry out an extensive variety of technical and/or complex instructions. Id. Dr. Michiel indicated Plaintiff had no restrictions in his activities of daily living and that he would be able to handle his funds if his history regarding his drug use was reliable. Id. The ALJ found Dr. Michiel’s report was “supported by and consistent with the overall record” and that Plaintiff was able to care for his daily needs, shop, and interact with family. Id. The ALJ considered the report of Samuel B. Rush, MD. Id. Dr. Rush diagnosed Plaintiff with schizophrenia, possible paranoid type low back syndrome with good range of motion and normal ambulation, smoker with no evidence of end-organ damage, and history of medication for hypertension with good control and no evidence of end-organ damage. Id. Dr. Rush opined Plaintiff was not limited in lifting carrying, pushing, pulling, walking, standing, or sitting. Id. Dr. Rush noted Plaintiff could do routine bending, crouching, stooping, could walk on uneven terrain, and claim ladders. Id. The ALJ found Dr. Rush’s report was consistent with the findings in the overall record, and the Plaintiff’s complaints of mental symptoms supported a need for 10- minute breaks every hour. Id.3 The ALJ also considered the report of James P. Murphy, Ph.D. Id. at 27-28. Dr. Murphy found Plaintiff’s attention was within normal limits, appeared to be fully oriented, and his memory was intact, but severely impaired. Id. at 28. Dr. Murphy noted Plaintiff’s eye contact was appropriate, his attitude was cooperative and while his mood could be described as irritable, his emotional expression was not congruent with his reported mood. Id. Dr. Murphy reported Plaintiff’s thoughts were clear, coherent, and well organized he had no difficulty handling ideas, and he could identify basic similarities, differences, and absurdities. Id. Dr. Murphy found Plaintiff’s general knowledge was less than adequate, but Plaintiff appeared to give a less than honest attempt in answering the questions. Id. Dr. Murphy opined Plaintiff would not have difficulty in any work-related mental tasks. Id. The ALJ noted Dr. Murphy did not have the opportunity to review the entire record as to Plaintiff’s “continued mental symptoms despite medication and counseling.” Id. Therefore, the ALJ found that additional limits on contact with others as supported by Plaintiff’s reported mental symptoms were required. Id. Specifically, the ALJ held 10-minute breaks for Plaintiff every two hours would be helpful due to his mental and physical symptoms. Id. The ALJ considered the reports of state agency psychological consultants R. Paxton, MD., and Yamira Olaya, MD. Id. The consultants concluded that Plaintiff’s mental impairments caused a mild restriction in his understanding, remembering, and applying information, and 3 The ALJ’s assessment “Plaintiff’s complaints of mental symptoms supported a need for 10-minute breaks every hour” is inconsistent with the ALJ’s ultimate RFC. AR at 24, 27. Generally, “Courts have excused inconsistent statements by ALJs as mere scrivener’s errors “if the intent of the ALJ is apparent from the record.” McKenzie v. Kijakazi, No. 1:20-cv-00327- JLT, 2021 WL 4279015, at *15 (E.D. Cal. Sept. 21, 2021). Here, it is apparent from the record that the ALJ intended the RFC to include 10-minute breaks every two hours, as reflected in the hypothetical presented to the VE (AR 73) and as memorialized in the RFC. adapting or managing oneself, and a moderate restriction in interacting with others and concentration, persistence, and pace. Id. The consultants also opined Plaintiff could perform nonpublic work with simple level tasks. Id. The ALJ found the opinions were consistent with the overall record. Id. However, the ALJ found additional restrictions on contact with coworkers and supervisors are supported by Plaintiff’s reported symptoms. Id. The ALJ determined that Plaintiff had no past relevant work (step four), but given his age, education, work experience, and RFC, he could perform a significant number of other jobs in the national economy, including housekeeping cleaner, merchandise marker, and routing clerk (step five). Id. at 29. On May 27, 2020, the Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the final decision of the Commissioner. Id. at 36-41. Plaintiff filed this action on March 11, 2021, seeking judicial review of the denial of his application for benefits. (Doc. 1). The Commissioner lodged the administrative record on January 28, 2022. (Doc. 12). Plaintiff filed a motion for summary judgment on May 16, 2022. (Doc. 18). Defendant filed a cross- motion for summary judgment and opposition on July 27, 2022. (Doc. 22). On August 11, 2022, Plaintiff filed a reply. (Doc. 23). A. The Disability Standard Disability Insurance Benefits and Supplemental Security Income are available for every eligible individual who is “disabled.” 42 U.S.C. §§ 402(d)(1)(B)(ii) and 1381(a). An individual is “disabled” if unable to “engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment …”4 Bowen v. Yuckert, 482 U.S. 137, 140 (1987) (quoting identically worded provisions of 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A)). To achieve uniformity in the decision-making process, the Social Security regulations set out a five- step sequential evaluation process to be used in determining if an individual is disabled. See 20 4 A “physical or mental impairment” is one resulting from anatomical, physiological, or psychological abnormalities that are demonstrated by medically acceptable clinical and laboratory diagnostic techniques. 42 U.S.C. § 423(d)(3). C.F.R. § 404.1520; Batson v. Comm’r of Soc. Sec. Admin., 359 F.3d 1190, 1194 (9th Cir. 2004). Specifically, the ALJ is required to determine:

(1) whether a claimant engaged in substantial gainful activity during the period of alleged disability, (2) whether the claimant had medically determinable “severe” impairments, (3) whether these impairments meet or are medically equivalent to one of the listed impairments set forth in 20 C.F.R. § 404, Subpart P, Appendix 1, (4) whether the claimant retained the RFC to perform past relevant work and (5) whether the claimant had the ability to perform other jobs existing in significant numbers at the national and regional level. Stout v. Comm’r. Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 2006). The burden of proof is on a claimant at steps one through four. Ford v. Saul, 950 F.3d 1141, 1148 (9th Cir. 2020) (citing Valentine v. Comm’r of Soc. Sec. Admin, 574 F.3d 685, 689 (9th Cir. 2009)). Before making the step four determinations, the ALJ first must determine the claimant’s RFC. 20 C.F.R. § 416.920(e). The RFC is the most a claimant can still do despite their limitations and represents an assessment based on all relevant evidence. 20 C.F.R. §§ 404.1545(a)(1); 416.945(a)(1)). The RFC must consider all of the claimant’s impairments, including those that are not severe. 20 C.F.R. § 416.920(e); § 416.945(a)(2). E.g., Wells v. Colvin, 727 F.3d 1061, 1065 (10th Cir. 2013) (“These regulations inform us, first, that in assessing the claimant’s RFC, the ALJ must consider the combined effect of all of the claimant’s medically determinable impairments, whether severe or not severe.”). The RFC is not a medical opinion. 20 C.F.R. § 404.1527(d)(2). Rather, it is a legal decision that is expressly reserved to the Commissioner. 20 C.F.R. § 404.1546(c); see Vertigan v. Halter, 260 F.3d 1044, 1049 (9th Cir. 2001) (“[I]t is the responsibility of the ALJ, not the claimant’s physician, to determine residual functional capacity.”). At step five, the burden shifts to the Commissioner to prove that Plaintiff can perform other work in the national economy given the claimant’s RFC, age, education, and work experience. Garrison v. Colvin, 759 F.3d 995, 1011 (9th Cir. 2014). To do this, the ALJ can use either the Medical-Vocational Guidelines or rely upon the testimony of a VE. Lounsburry v. Barnhart, 468 F.3d 1111, 1114 (9th Cir. 2006); Osenbrock v. Apfel, 240 F.3d 1157, 1162 (9th Cir. 2001). “Throughout the five-step evaluation, the ALJ ‘is responsible for determining credibility, resolving conflicts in medical testimony and for resolving ambiguities.’” Ford, 950 F.3d at 1149 (quoting Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995)). B. Standard of Review Congress has provided that an individual may obtain judicial review of any final decision of the Commissioner of Social Security regarding entitlement to benefits. 42 U.S.C. § 405(g). In determining whether to reverse an ALJ’s decision, a court reviews only those issues raised by the party challenging the decision. See Lewis v. Apfel, 236 F.3d 503, 517 n.13 (9th Cir. 2001). A court may set aside the Commissioner’s denial of benefits when the ALJ’s findings are based on legal error or are not supported by substantial evidence. Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999). “Substantial evidence is relevant evidence which, considering the record as a whole, a reasonable person might accept as adequate to support a conclusion.” Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002) (quoting Flaten v. Sec’y of Health & Human Servs., 44 F.3d 1453, 1457 (9th Cir, 1995)). “[T]he threshold for such evidentiary sufficiency is not high.” Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019). Rather, “[s]ubstantial evidence means more than a scintilla, but less than a preponderance; it is an extremely deferential standard.” Thomas v. CalPortland Co., 993 F.3d 1204, 1208 (9th Cir. 2021) (internal quotations and citations omitted). “[A] reviewing court must consider the entire record as a whole and may not affirm simply by isolating a specific quantum of supporting evidence.” Hill v. Astrue, 698 F.3d 1153, 1159 (9th Cir. 2012) (internal quotations and citations omitted). “If the evidence ‘is susceptible to more than one rational interpretation, it is the ALJ’s conclusion that must be upheld.’” Ford, 950 F.3d at 1154 (quoting Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005)). Even if the ALJ has erred, the Court may not reverse the ALJ’s decision where the error is harmless. Stout, 454 F.3d at 1055-56. An error is harmless where it is “inconsequential to the [ALJ’s] ultimate nondisability determinations.” Tommasetti v. Astrue, 533 F.3d 1035, 1038 (9th Cir. 2008) (quotation and citation omitted). The burden of showing that an error is not harmless “normally falls upon the party attacking the agency’s determination.” Shinseki v. Sanders, 556 U.S. 396, 409 (2009). Plaintiff asserts the ALJ failed to include work-related limitations in the RFC consistent with the nature and intensity of Plaintiff’s limitations and failed to offer any reasons for discounting his subjective complaints. (Doc. 18 at 8). The ALJ is responsible for determining credibility,5 resolving conflicts in medical testimony, and resolving ambiguities. Andrews, 53 F.3d at 1039. A claimant’s statements of pain or other symptoms are not conclusive evidence of a physical or mental impairment or disability. 42 U.S.C. § 423(d)(5)(A); see SSR 16-3p, 2017 WL 5180304, at *2 (“an individual’s statements of symptoms alone are not enough to establish the existence of a physical or mental impairment or disability”); see also Orn v. Astrue, 495 F.3d 625, 635 (9th Cir. 2007) (“An ALJ is not required to believe every allegation of disabling pain or other non-exertional impairment.”) (internal quotation marks and citation omitted). Determining whether a claimant’s testimony regarding subjective pain or symptoms is credible requires the ALJ to engage in a two-step analysis. Molina v. Astrue, 674 F.3d 1104, 1112 (9th Cir. 2012). The ALJ must first determine if “the claimant has presented objective medical evidence of an underlying impairment which could reasonably be expected to produce the pain or other symptoms alleged.” Lingenfelter v. Astrue, 504 F.3d 1028, 1036 (9th Cir. 2007) (internal punctuation and citations omitted). This does not require the claimant to show that his impairment could be expected to cause the severity of the symptoms that are alleged, but only that it reasonably could have caused some degree of symptoms. Smolen v. Chater, 80 F.3d 1273, 1282 (9th Cir. 1996). If the first step is met and there is no evidence of malingering, “the ALJ must provide ‘specific, clear and convincing reasons for’ rejecting the claimant’s testimony.” Treichler v.

5 Social Security Ruling (SSR) 16-3p applies to disability applications heard by the agency on or after March 28, 2016. Ruling 16-3p eliminated the use of the term “credibility” to emphasize that subjective symptom evaluation is not “an examination of an individual’s character but an endeavor to “determine how symptoms limit [the] ability to perform work-related activities.” SSR 16-3p, 2017 WL 5180304, at *3. Comm’r of Soc. Sec., 775 F.3d 1090, 1102 (9th Cir. 2014) (quoting Smolen, 80 F.3d at 1281). See Carmickle v. Comm’r of Soc. Sec., 533 F.3d 1155, 1160 (9th Cir. 2008) (noting an adverse credibility finding must be based on “clear and convincing reasons”). The ALJ must make findings that support this conclusion and the findings must be sufficiently specific to allow a reviewing court to conclude the ALJ rejected the claimant’s testimony on permissible grounds and did not arbitrarily discredit the claimant’s testimony. Moisa v. Barnhart, 367 F.3d 882, 885 (9th Cir. 2004). The Ninth Circuit does “not require ALJs to perform a line-by-line exegesis of the claimant’s testimony, nor do they require ALJs to draft dissertations when denying benefits.” Stewart v. Kijakazi, No. 1:22-cv-00189-ADA-HBK, 2023 WL 4162767, at *5 (E.D. Cal. Jun. 22, 2023), F&R adopted, 2023 WL 5109769 (E.D. Cal. Aug. 8, 2023); see Record v. Kijakazi, No. 1:22-cv-00495-BAM, 2023 WL 2752097, at *4 (E.D. Cal. Mar. 31, 2023) (“Even if the ALJ’s decision is not a model of clarity, where the ALJ’s ‘path may reasonably be discerned,’ the Court will still defer to the ALJ’s decision.”) (quoting Wilson v. Berryhill, 757 F. App’x 595, 597 (9th Cir. 2019)). “The standard isn’t whether our court is convinced, but instead, whether the ALJ’s rationale is clear enough that it has the power to convince.” Smartt v. Kijakazi, 53 F. 4th 489, 494 (9th Cir. 2022) (the clear and convincing standard requires an ALJ to show his work). The ALJ may consider numerous factors in weighing a claimant’s credibility, including “(1) ordinary techniques of credibility evaluation, such as the claimant’s reputation for lying, prior inconsistent statements concerning the symptoms, and other testimony by the claimant that appears less than candid; (2) unexplained or inadequately explained failure to seek treatment or to follow a prescribed course of treatment; and (3) the claimant’s daily activities.” Smolen, 80 F.3d at 1284. In evaluating the credibility of symptom testimony, the ALJ must also consider the factors identified in SSR 16-3P. Id. 6 (citing Bunnell v. Sullivan, 947 F.2d 341, 346 (9th Cir. 1991)). Accord Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1226 (9th Cir. 2009). These

6 Smolen cites to SSR 88-13, which has since been superseded by SSR 16-3P (available at 2017 WL 5180304). See Amy E.S. v. Commissioner, 2022 WL 92939, at *9 n.4 (D. Or. Jan. 10, 2022). factors include: (1) Daily activities; (2) The location, duration, frequency, and intensity of pain or other symptoms; (3) Factors that precipitate and aggravate the symptoms; (4) The type, dosage, effectiveness, and side effects of any medication an individual takes or has taken to alleviate pain or other symptoms; (5) Treatment, other than medication, an individual receives or has received for relief of pain or other symptoms; (6) Any measures other than treatment an individual uses or has used to relieve pain or other symptoms (e.g., lying flat on his or her back, standing for 15 to 20 minutes every hour, or sleeping on a board); and (7) Any other factors concerning an individual’s functional limitations and restrictions due to pain or other symptoms. SSR 16-3P, 2017 WL 5180304, at *7. See 20 C.F.R. § 404.1529(c)(3). If the ALJ’s finding is supported by substantial evidence, the court may not engage in second-guessing. Tommasetti, 533 F.3d at 1039 (citations and internal quotation marks omitted). The clear and convincing standard is “not an easy requirement to meet,” as it is “‘the most demanding required in Social Security cases.’” Garrison v. Colvin, 759 F.3d 995, 1015 (9th Cir. 2014) (quoting Moore v. Comm’r of Soc. Sec. Admin., 278 F.3d 920, 924 (9th Cir. 2002)). “A finding that a claimant’s testimony is not credible must be sufficiently specific to allow a reviewing court to conclude the adjudicator rejected the claimant’s testimony on permissible grounds and did not arbitrarily discredit a claimant’s testimony regarding pain.” Brown-Hunter v. Colvin, 806 F.3d 487, 493 (9th Cir. 2015) (citation and internal quotation marks omitted). “The fact that a claimant’s testimony is not fully corroborated by the objective medical findings, in and of itself, is not a clear and convincing reason for rejecting it.” Vertigan v. Halter, 260 F.3d 1044, 1049 (9th Cir. 2001). See 20 C.F.R. § 404.1529(c)(2) (“[W]e will not reject your statements about the intensity and persistence of your pain or other symptoms or about the effect your symptoms have on your ability solely because the objective medical evidence does not substantiate your statements.”). Rather, where a claimant’s symptom testimony is not fully substantiated by the objective medical record, the ALJ must provide additional reasons for discounting the testimony. Burch, 400 F.3d at 680. “The ALJ must specify what testimony is not credible and identify the evidence that undermines the claimant’s complaints – ‘[g]eneral findings are insufficient.’” Id. (quoting Reddick v. Chater, 157 F.3d 715, 722 (9th Cir. 1988)). However, the medical evidence “is still a relevant factor in determining the severity of the claimant’s pain and its disabling effects.” Rollins v. Massanari, 261 F.3d 853, 857 (9th Cir. 2001). The Court of Appeals has distinguished testimony that is “uncorroborated” by the medical evidence from testimony that is “contradicted” by the medical records, and concluded that contradictions with the medical records, by themselves, are enough to meet the clear and convincing standard. Hairston v. Saul, 827 Fed. Appx. 772, 773 (9th Cir. 2020) (quoting Carmickle, 533 F.3d at 1161). The Court of Appeals has also acknowledged that the ALJ is not “required to believe every allegation of disabling pain, or else disability benefits would be able available for the asking, a result plainly contrary to” the Social Security Act. Molina, 674 F.3d at 1104. Plaintiff argues “[t]he ALJ’s findings are not supported by substantial evidence because he failed to articulate a clear and convincing reason for discounting Plaintiff’s mental health symptoms including hallucinations, paranoia, difficulty leaving the house, panic attacks and irritability.” (Doc. 18 at 9-10). Plaintiff asserts the ALJ failed to explain why her conclusion there are “inconsistencies in the claimant’s alleged sobriety” undermines Plaintiff’s mental health symptoms. Id. at 10. Plaintiff contends this is merely an attack on an instance of untruthfulness and is not a clear and convincing reason to discount his subjective complaints, as it has nothing to do with the intensity and persistence of Plaintiff’s overall symptoms. Id. (citing Trevizo v. Berryhill, 871 F.3d 664, 679 (9th Cir. 2017) (“…assessments of an individual’s testimony by an ALJ are designed to ‘evaluate the intensity and persistence of symptoms after [the ALJ] find[s] that the individual has a medically determinable impairment that could be reasonably expected to produce those symptoms,’ and not to delve into wide-ranging scrutiny of the claimant’s character and apparent truthfulness.”)). Next, Plaintiff argues the ALJ simply proceeded to summarize Plaintiff’s treatment history and weighed the medical opinions. Id. Plaintiff claims the ALJ failed to state a clear and convincing reason for rejecting Plaintiff’s testimony. Id. (citing Lambert v. Saul, 980 F.3d 1266, 1278 (9th Cir. 2020) (quoting Brown-Hunter, 806 F.3d at 494) (explaining that a “detailed overview of …medical history” is insufficient)). Plaintiff asserts the ALJ’s summary of Plaintiff’s treatment history failed to explain “why any of these facts contradict Plaintiff’s alleged symptoms and limitations.” Id. Plaintiff argues the ALJ’s concession that the opinions it relied upon “did not properly account for Plaintiff’s subjective symptoms undermines Defendant’s reliance on their opinions as sufficient support for the RFC.” (Doc. 23 at 2). Plaintiff submits that “the ALJ’s ultimate conclusion at Step Five, rendered based upon the unsupported RFC determination is unsupported by substantial evidence.” (Doc. 18 at 11). In contrast, Defendant argues the ALJ properly considered the consistency of Plaintiff’s subjective statements and provided legally sufficient reasons for her RFC determination. See (Doc. 22 at 10-16). Here, the ALJ summarized Plaintiff’s testimony symptoms as follows:

“The complainant complains of back pain …” (AR 23) “The claimant claimed that he hears voices four to five times a week. He experiences visual hallucinations, panic attacks that can last up to 30 minutes, and difficulty sleeping through the night. He said he takes his medication because it is part of his supportive living requirements. He said he hears voices, and he has been sober from illegal substances except for a relapse six months prior.

The claimant alleged that he has pain in his hands and back that make activities difficult. He said he suffered a head injury 18 months ago when he was hit in the head with a pipe. He said he has had headaches since then.

The claimant testified that he lives in an apartment in a supportive housing facility with one roommate. He cleans his own room and does his own laundry. He grocery shops once a week. He said it is difficult to push a shopping cart, be around people, or stand in line. He tries to go to the store later. And he avoids public situations. Staff at his living facility assist with transportation.” (AR 25) The ALJ acknowledged and engaged in the two-part analysis under Treichler (supra). (AR 24- 25). The ALJ found that Plaintiff’s impairments could reasonably be expected to cause the alleged symptoms, but separately noted: “the claimant’s statements concerning the intensity, persistence and limiting effects of these symptoms are not entirely consistent with the medical evidence and other evidence in the record for the reasons explained in this decision.” 7

7 This statement is nearly identical to a statement the Court of Appeals found to be In the subsequent paragraph, the ALJ elaborated that while Plaintiff claimed to suffer from “debilitating physical issues,” medical records showed Plaintiff sought only minimal treatment for physical impairments. Further, the ALJ acknowledged Plaintiff’s recurring physical activities of riding a bicycle and being able to walk a mile. Similarly, the ALJ recognized that Plaintiff expressed “doing well” after spending 14 hours loading furniture onto a truck approximately nine months prior to the hearing. And the ALJ pointed out that there were “inconsistencies in the claimant’s alleged sobriety.” Id. at 25. Specifically, the ALJ noted in June 2017, Plaintiff said he had not used meth since 2013, but three months prior, he reported he had last used a few months prior. Id. In sum, all of the bases for the ALJ’s conclusion that Plaintiff’s testimony was “not entirely consistent” with the other record evidence relate to Plaintiff’s complaints of chronic back pain. For instance, the ALJ permissibly considered Plaintiff’s testimony of daily riding a bicycle and engaging in labor-intensive manual labor (unloading furniture from a truck) to be inconsistent with his testimony regarding pain symptoms. (AR 25). However, the fact that Plaintiff regularly rides a bicycle and occasionally engages in manual labor does not contradict or otherwise discredit or undermine his claimed psychiatric symptoms (i.e., panic attacks, hearing voices, etc.). Thus, the ALJ’s reasons for discounting Plaintiff’s testimony about pain symptoms does not constitute clear and convincing reasons for similarly discounting Plaintiff’s testimony about his psychiatric symptoms. See Rostocil v. Colvin, No. 3:12-cv-01526-SI, 2014 WL 1333983, at *8 (D. Or. Apr. 2, 2014) (“Evidence of improvement in Ms. Rostocil’s psychiatric symptoms alone is not substantial evidence that her physical pain symptoms are less severe than she describes.”). The ALJ comprehensively summarized the medical evidence relevant to Plaintiff’s psychiatric conditions and symptoms. However, “[u]nder Brown-Hunter, ‘the observations an ALJ makes as part of the summary of the medical record are not sufficient to establish clear and convincing reasons for rejecting a Plaintiff’s credibility.” Argueta v. Colvin, No. 1:15-cv-01110- SKO, 2016 WL 4138577, at *13 (E.D. Cal. Aug. 3, 2016) (emphasis in original) (quoting Brown- “boilerplate” routinely included in ALJ decisions. Lambert v. Saul, 980 F.3d 1266, 1277 (9th Cir. 2020). Hunter, 806 F.3d at 494). Here, the ALJ discussed the relevant medical evidence but “failed to link” Plaintiff’s testimony to the medical record and explain how that evidence contradicted his testimony. Holcomb v. Saul, 832 Fed. Appx. 505, 506 (9th Cir. 2020). The ALJ did not address Plaintiff’s psychiatric symptom testimony while discussing the medical evidence. See AR at 25- 29. For example, the ALJ failed to identify medical evidence conflicting with Plaintiff’s testimony that he experienced panic attacks that could last up to 30 minutes every day. Id. at 25- 29, 62-64. Instead, it appears, the ALJ reiterated the medical findings from the administrative record and concluded: “additional limits on contact with others are supported by the claimant’s reported mental symptoms.” Id. at 29. Defendant’s argument that even if the ALJ presented his rationale with “less than ideal clarity” the Court must affirm if the ALJ’s path “may be reasonably discerned” is unpersuasive. (Doc. 22 at 15) (citing Molina, 674 F.3d at 1121). The ALJ’s rationale must be clear enough that it has the power to convince. Smartt, 53 F. at 494. While the ALJ certainly provided a “detailed summary” of Plaintiff’s medical records, the summary alone does not constitute clear and convincing reasons sufficient to uphold the ALJ’s discrediting of Plaintiff’s psychiatric symptom testimony. See McKenzie v. Kijakazi, No. 1:20-cv-00327-JLT, 2021 WL 4279015, at *12 (E.D. Cal. Sep. 21, 2021) (remanding for failure to link the medical record to the plaintiff’s subjective statements concerning her limitations.) Defendant’s claim “[t]he ALJ repeatedly noted inconsistencies between Plaintiff’s alleged symptoms and his capacity for daily activities” also fails. (Doc. 22 at 13) (citing AR 24- 25, 27). An ALJ is “permitted to consider daily living activities” in addressing a Plaintiff’s subjective statements. Burch, 400 F.3d at 681. Daily activities “form the basis for an adverse credibility determination” when: (1) the daily activities contradict the claimant’s other testimony or (2) the daily activities meet the threshold for transferable works skills. Orn, 495 F.3d at 639; see Molina, 674 F.3d at 1112 (factors to consider in evaluating a claimant’s statements include “whether the claimant engages in daily activities inconsistent with the alleged symptoms” and whether “the claimant reports participation in everyday activities indicating capacities that are transferable to a work setting”). The ALJ identified Plaintiff does laundry, shops, rides a bicycle daily, did housework, used public transportation, talked on the phone, attended church, and was able to handle his finances. (AR 24-25, 26-27). The ALJ failed to make any determination that these activities conflicted with his subjective testimony. See id. The ALJ did not make any findings on how or whether these limited activities could transfer to a work setting. See Blau v. Asture, 263 Fed. App’x 635, 637 (9th Cir. 2008) (“Daily household chores…are not activities that are easily transferable to a work environment.”); see also Lewis, 236 F.3d at 517 (limited activities do not constitute convincing evidence that the claimant can function regularly in a work setting). Because the ALJ failed to set forth clear and convincing reasons supported by substantial evidence, and because the Court finds the ALJ’s credibility assessment was consequential to her non-disability determination, the ALJ’s credibility determination cannot be upheld. An error is harmless where it is “inconsequential to the [ALJ’s] ultimate [non-disability] determination.” Tommasetti v. Astrue, 533 F.3d 1035, 1038 (9th Cir. 2008) (quotation and citation omitted). Here, the ALJ’s error is not harmless because her RFC determination did not sufficiently account for and reconcile Plaintiff’s testimony. Brown-Hunter, 806 F.3d at 494 (“Because the ALJ failed to identify the testimony she found not credible, she did not link that testimony to the particular parts of the record supporting her non-credibility determination. This was [harmful] legal error.”). The decision whether to remand a matter pursuant to sentence four of 42 U.S.C. § 405(g) or to order immediate payment of benefits is within the discretion of the district court. Harman v. Apfel, 211 F.3d 1172, 1178 (9th Cir. 2000). Except in rare instances, when a court reverses an administrative agency determination, the proper course is to remand to the agency for additional investigation or explanation. Moisa, 367 F.3d at 886 (citing INS v. Ventura, 537 U.S. 12, 16 (2002)). Generally, an award of benefits is directed when: (1) the ALJ has failed to provide legally sufficient reasons for rejecting such evidence, (2) there are no outstanding issues that must be resolved before a determination of disability can be made, and (3) it is clear from the record that the ALJ would be required to find the claimant disabled were such evidence credited. Smolen, 80 F.3d at 1292. In addition, an award of benefits is directed where no useful purpose would be served by further administrative proceedings, or where the record is fully developed. Varney v. Sec’y of Health & Human Serv., 859 F.2d 1396, 1399 (9th Cir. 1998). Here, the ALJ committed legal error that was not harmless by failing to provide clear and convincing reasons for discrediting Plaintiff's subjective psychiatric symptom testimony. Because this error can be remedied on remand, further administrative proceedings are warranted. See Treichler, 775 F.3d 1090 at 1105 (“[T]he record raises crucial question as to the extent of [the plaintiff's] impairment given inconsistencies between his testimony and the medical evidence in the record. These are exactly the sort of issues that should be remanded to the agency for further proceedings.”). Based on the foregoing, the Court finds that the ALJ’s decision is not supported by substantial evidence. Accordingly, IT IS HEREBY ORDERED: 1. Plaintiff's motion for summary judgment (Doc. 18) is GRANTED; 2. Defendant’s cross-motion for summary judgment is DENIED; 3. The ALJ’s decision is VACATED, and this matter is REMANDED to the ALJ for further proceedings consistent with this order; and 4. The Clerk of Court is DIRECTED to enter judgment in favor of Plaintiff Trenton Lydell Gabriel and against Defendant Kilolo Kijakazi, Acting Commissioner of Social Security. ITIS SOORDERED. ** | Dated: _ August 31, 2023 | Wr bo UNITED STATES MAGISTRATE JUDGE 18