Stark v. Shalala

886 F. Supp. 733, 1995 U.S. Dist. LEXIS 11092, 1995 WL 307332
CourtDistrict Court, D. Oregon
DecidedApril 27, 1995
DocketCiv. No. 94-6132-HO
StatusPublished

This text of 886 F. Supp. 733 (Stark v. Shalala) is published on Counsel Stack Legal Research, covering District Court, D. Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stark v. Shalala, 886 F. Supp. 733, 1995 U.S. Dist. LEXIS 11092, 1995 WL 307332 (D. Or. 1995).

Opinion

ORDER

HOGAN, Chief Judge.

Plaintiff seeks review of a final decision denying him disability and supplemental security income benefits under Titles II and XVI of the Social Security Act, 42 U.S.C. Section 401, et. seq. At the time of the administrative hearing on September 2,1993, plaintiff was forty-eight years old, had two years of college education, and had. past relevant work experience as a machinist, truck and school bus driver, tool and cutter grinder, and self employment as a bullet maker. (Tr. 53-54, 179-191). Plaintiff alleged disability since January 11, 1992, due to physical and mental impairments resulting from low back pain. (Tr. 175). He was found to have met the insured status requirements of Title II on January 11, 1992. Plaintiff, in this proceeding, alleges disability based on mental impairments alone.

DISCUSSION

This court must affirm the Secretary’s decision if it is based on proper legal standards and the findings are supported by substantial evidence in the record. Drouin v. Sullivan, 966 F.2d 1255, 1257 (9th Cir. 1992). Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Id. The court must weigh “both the evidence that supports and detracts from the Secretary’s conclusions.” Martinez v. Heckler, 807 F.2d 771, 772 (9th Cir.1986). Even if the decision is supported by substantial evidence, [735]*735it must be set aside if the proper legal standards were not applied in weighing the evidence and in making the decision. Bilby v. Schweiker, 762 F.2d 716, 718 (9th Cir.1985); Gallant v. Heckler, 753 F.2d 1450 (9th Cir.1984).

The Secretary has established a five-step sequential process for determining whether a person is disabled. Bowen v. Yuckert, 482 U.S. 137, 140, 107 S.Ct. 2287, 2291, 96 L.Ed.2d 119 (1987); 20 C.F.R. 404.1520(a) and 416.920(a). In step three the Secretary determines whether the impairment meets or equals “one of a number of listed impairments that the Secretary acknowledges are so severe as to preclude substantial gainful activity.” 20 C.F.R. 404.1520(d), 416.920(d). If so, the plaintiff is conclusively presumed disabled. Ramirez v. Shalala, 8 F.3d 1449 (9th Cir.1993). Plaintiff argues that his mental impairment was one which the Secretary acknowledges is “so severe as to preclude substantial gainful activity,” and the Administrative Law Judge’s (ALJ) conclusion to the contrary is not based on substantial evidence.

In the present action, Dr. Kjaer, a psychiatrist, concluded that plaintiff met the disability criteria for mental impairment listings 12.03 (schizophrenic, paranoid and other psychotic disorders); 12.04 (affective disorders); and 12.08 (personality disorders) because he had marked difficulties in maintaining social functioning and repeated episodes of deterioration or decompensation in work or work-like settings. 20 C.F.R. Part 404, Subpart P, Appendix 1; (Tr. at 411, 418). In order to find a personality disorder under listing 12.08, a plaintiff must meet three of the four “B” criteria. It is undisputed that Dr. Kjaer found only two. It was not error for the ALJ to find an absence of disability based on listing 12.08.

The ALJ considered Dr. Kjaer a treating physician and the Secretary does not dispute this. The ALJ, however, disregarded that opinion in favor of the opinion of Dr. Warner, a psychologist advisor, who did not treat or examine plaintiff. The medical opinion of a plaintiffs treating physician is entitled to greater weight than to that of a non-treating or examining physician because the treating physician “is employed to cure and has a greater opportunity to know and observe the patient as an individual.” Rodriguez v. Bowen, 876 F.2d 759, 761 (9th Cir.1989) (quoting Sprague v. Bowen, 812 F.2d 1226, 1230 (9th Cir.1985)). The opinion of a non-examining medical expert, with nothing more, is not substantial evidence sufficient to support a denial where the record contains conflicting observations, opinions and conclusions of an examining physician. Erickson v. Shalala, 9 F.3d 813 (9th Cir.1993). When another doctor’s opinion contradicts the opinion of a treating physician, the Secretary can disregard the latter only by setting forth “specific, legitimate reasons for doing so that are based on substantial evidence in the record.” Ramirez v. Shalala, 8 F.3d 1449, 1453 (9th Cir.1993) (quoting Baxter v. Sullivan, 923 F.2d 1391, 1396 (9th Cir.1991)). When the opinion of the treating physician is uncontroverted, however, the ALJ must give “clear and convincing reasons” when rejecting such an opinion. Gallant v. Heckler, 753 F.2d 1450, 1454 (9th Cir.1984). While the Secretary must make particularized findings to support her administrative decision and allow for meaningful judicial review, the Secretary need not discuss all evidence presented. Rather, she must explain why “significant probative evidence has been rejected.” Vincent v. Heckler, 739 F.2d 1393, 1394-95 (9th Cir.1984). The issue is whether the ALJ’s findings for disregarding Dr. Kjaer’s conclusions are sufficient.

The ALJ found that “Dr. Kjaer’s reports have been very carefully considered, but his assessment of the claimant’s mental limitations differs so radically from the other examining and treating sources that it must be rejected.” (Tr. at 30). Plaintiff was initially examined in July 1992 by psychiatrist, Dr. Alan Cohn who diagnosed: (1) Depression, not otherwise specified, (2) Adjustment disorder with anxiety and depression, (3) Chronic pain syndrome, (4) Marital maladjustment, and, (5) Passive aggressive, obsessional and paranoid personality traits. (Tr. at 251). In August 1992, plaintiff was examined by an internist, Dr. Witkin, who diagnosed depression. (Tr. at 257).

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Bluebook (online)
886 F. Supp. 733, 1995 U.S. Dist. LEXIS 11092, 1995 WL 307332, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stark-v-shalala-ord-1995.