Tomasello v. Commissioner of Social Security

United States District Court for the Northern District of California

Tomasello v. Commissioner of Social Security

Trial Court Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 SAN JOSE DIVISION 7 8 D.T., Case No. 20-cv-00793-VKD

9 Plaintiff, ORDER RE CROSS-MOTIONS FOR 10 v. SUMMARY JUDGMENT

11 COMMISSIONER OF SOCIAL Re: Dkt. Nos. 19, 21 SECURITY, 12 Defendant.

13 14 Plaintiff D.T.1 appeals a final decision of the Commissioner of Social Security (“the 15 Commissioner”) denying her application for supplemental security income (“SSI”) under Title 16 XVI of the Social Security Act (“the Act”),

42 U.S.C. §§ 1381

et seq. The parties have filed 17 cross-motions for summary judgment.2 Dkt. Nos. 19, 21. 18 The matter was submitted without oral argument. Upon consideration of the moving and 19 responding papers and the relevant evidence of record, for the reasons set forth below, the Court 20 grants D.T.’s motion for summary judgment and denies the Commissioner’s cross-motion for 21 summary judgment.3 22

23 1 Because opinions by the Court are more widely available than other filings, and this order contains potentially sensitive medical information, this order refers to the plaintiff only by her 24 initials. This order does not alter the degree of public access to other filings in this action provided by Rule 5.2(c) of the Federal Rules of Civil Procedure and Civil Local Rule 5- 25 1(c)(5)(B)(i).

26 2 D.T.’s brief did not comply with Civil Local Rule 7-4, which requires that any brief in excess of 10 pages must include a table of contents and table of authorities. 27 I. BACKGROUND 1 D.T. seeks SSI benefits beginning November 19, 2015, the date of her application. AR 15. 2 An Administrative Law Judge (“ALJ”) held a hearing and issued an unfavorable decision on 3 August 3, 2018. AR 15–26. The ALJ found that D.T. had the following severe impairments: 4 trochanter bursitis of the right hip, obesity, post-traumatic stress disorder (“PTSD”), and major 5 depressive disorder (“MDD”). AR 17. The ALJ concluded that D.T. did not have an impairment 6 or combination of impairments that met or medically equaled one of the listed impairments.

Id.

7 The ALJ then determined that D.T.’s residual functional capacity (“RFC”) limited her to less than 8 the full range of light work as follows: lifting and/or carrying 20 pounds occasionally and 10 9 pounds frequently; standing and/or walking about six hours of an eight-hour workday; sitting 10 about six hours of an eight-hour workday; pushing or pulling consistent with the lifting just 11 described; no postural or manipulative limitations; capable of understanding, remembering and 12 sustaining concentration, pace and persistence for simple routines throughout a normal workday 13 and workweek; able to accept routine supervision and interact with coworkers in a non- 14 collaborative and superficial basis; occasional interaction with the public; can adapt to a routine 15 and predictable work environment, recognizing typical hazards, traveling to routine locations, and 16 setting goals independently within the framework noted above. AR 19. The ALJ concluded that 17 D.T. was not disabled because she was capable of performing jobs that exist in the national 18 economy, such as housekeeping cleaner, photocopy machine operator, and packing line worker. 19 AR 25. 20 The Appeals Council denied D.T.’s request for review of the ALJ’s decision. AR 1–3. 21 D.T. filed this action on February 3, 2020. Dkt. No. 1. 22 II. STANDARD OF REVIEW 23 Pursuant to

42 U.S.C. § 405

(g), this Court has the authority to review the Commissioner’s 24 decision to deny benefits. The Commissioner’s decision will be disturbed only if it is not 25 supported by substantial evidence or if it is based upon the application of improper legal 26 standards. Morgan v. Comm’r of Soc. Sec. Admin.,

169 F.3d 595, 599

(9th Cir. 1999); Moncada v. 27 Chater,

60 F.3d 521, 523

(9th Cir. 1995). In this context, the term “substantial evidence” means 1 “more than a mere scintilla but less than a preponderance—it is such relevant evidence that a 2 reasonable mind might accept as adequate to support the conclusion.” Moncada,

60 F.3d at 523

; 3 see also Drouin v. Sullivan,

966 F.2d 1255, 1257

(9th Cir. 1992). When determining whether 4 substantial evidence exists to support the Commissioner’s decision, the Court examines the 5 administrative record as a whole, considering adverse as well as supporting evidence. Drouin, 966 6 F.2d at 1257; Hammock v. Bowen,

879 F.2d 498, 501

(9th Cir. 1989). Where evidence exists to 7 support more than one rational interpretation, the Court must defer to the decision of the 8 Commissioner. Moncada,

60 F.3d at 523

; Drouin,

966 F.2d at 1258

. 9 III. DISCUSSION 10 D.T. contends that the ALJ erred by not assigning the proper weight to the opinions of her 11 treating and examining physicians. Specifically, D.T. contends that the ALJ erred by (1) 12 discounting the joint opinion of treating psychiatrist Harun Evcimen, M.D. and treating nurse 13 practitioner Nicole Una, and (2) discounting the joint opinion of Dr. Evcimen and treating 14 psychologist Bret Fimiani, Psy.D.4 Dkt. No. 19 at 12–18. 15 For Social Security applications filed before March 27, 2017, under the “treating physician 16 rule,” “[t]he medical opinion of a claimant’s treating doctor is given ‘controlling weight’ so long 17 as it ‘is well-supported by medically acceptable clinical and laboratory diagnostic techniques and 18 is not inconsistent with the other substantial evidence in [the claimant’s] case record.’” Revels v. 19 Berryhill,

874 F.3d 648, 654

(9th Cir. 2017) (quoting

20 C.F.R. § 404.1527

(c)(2)); see also 20

20 C.F.R. § 416.927

(c)(2) (2016) (same). “When a treating doctor’s opinion is not controlling, it is 21 weighted according to factors such as the length of the treatment relationship and the frequency of 22 examination, the nature and extent of the treatment relationship, supportability, and consistency 23 with the record.” Revels,

874 F.3d at 654

(citing

20 C.F.R. § 404.1527

(c)(2)-(6)); see also 20

24 C.F.R. § 416.927

(c)(2)-(6) (same). 25 4 D.T.’s motion describes opinion evidence from consultative examining physician Fahmida 26 Zaman, Ph.D., but does not challenge the ALJ’s assignment of little weight to Dr. Zaman’s opinions. Compare Dkt. No. 19 at 11–12 (describing Dr. Zaman’s opinions) with

id. at 3

, 12–18 27 (raising only arguments concerning the opinions of Drs. Evcimen and Fimiani and Ms. Una). 1 When an ALJ gives a treating physician’s opinion less than controlling weight, the ALJ 2 must do two things. First, the ALJ must consider other factors, including the length of the 3 treatment relationship and the frequency of examination, the nature and extent of the treatment 4 relationship, supportability, consistency with the record, and specialization of the physician. 20

5 C.F.R. § 416.927

(c)(2)-(6); Trevizo v. Berryhill,

871 F.3d 664, 675

(9th Cir. 2017) (citing 20

6 C.F.R. § 404.1527

(c)(2)-(6)). Consideration must also be given to other factors, whether raised by 7 the claimant or by others, or if known to the ALJ, including the amount of relevant evidence 8 supporting the opinion and the quality of the explanation provided; the degree of understanding a 9 physician has of the Commissioner’s disability programs and their evidentiary requirements; and 10 the degree of his or her familiarity with other information in the case record.

20 C.F.R. §§ 11

416.927(c)(6), 404.1527(c)(6) (2016); Orn v. Astrue,

495 F.3d 625, 631

(9th Cir. 2007). The 12 failure to consider these factors, by itself, constitutes reversible error. Trevizo,

871 F.3d at 676

. 13 Second, the ALJ must provide reasons for rejecting or discounting the treating physician’s 14 opinion. The legal standard that applies to the ALJ’s proffered reasons depends on whether 15 another physician contradicts the treating physician’s opinion. When a treating physician’s 16 opinion is not contradicted by another physician, the ALJ must provide “clear and convincing” 17 reasons for rejecting or discounting the opinion, supported by substantial evidence.

Id. at 675

. 18 When a treating physician’s opinion is contradicted by another physician, an ALJ must provide 19 “specific and legitimate reasons” for rejecting or discounting the treating physician’s opinion, 20 supported by substantial evidence.

Id.

“The ALJ can meet this burden by setting out a detailed 21 and thorough summary of the facts and conflicting clinical evidence, stating his interpretation 22 thereof, and making findings.” Magallanes v. Bowen,

881 F.2d 747, 751

(9th Cir. 1989) 23 (quotations and citation omitted). 24 The Court addresses each disputed opinion in turn. 25 A. Treating Nurse Practitioner Nicole Una and Treating Psychiatrist Harun Evcimen, M.D. 26 Ms. Una provided a medical summary dated May 5, 2017, which Dr. Evcimen co-signed. 27 AR 621–23. This medical summary listed D.T.’s diagnoses as “trochanteric bursitis of right hip, 1 thoracic back pain[,] major depressive disorder, [and] post traumatic stress disorder.” AR 621. 2 Her symptoms included “severe anxiety” and “poor concentration.” AR 621. Ms. Una and Dr. 3 Evcimen described D.T.’s functional limitations: with respect to her activities of daily living, her 4 “knee and back pain make it difficult to stand or sit for too long”; with respect to her social 5 functioning, she experienced “social anxiety and difficulty in large groups”; and with respect to 6 her ability to concentrate and focus, she demonstrated “poor focus and difficulty with 7 concentrating on daily tasks.” AR 622. They opined that they expected D.T. to miss four to six 8 day of work per month because of fatigue and/or illness.

Id.

Finally, they noted: “Although she 9 has been fairly stable recently[,] she has been fragile. Her current symptoms are [a] significant 10 barrier to start working again. She has been compliant with her treatment.”

Id.

11 The ALJ gave little weight to the opinion of Ms. Una and Dr. Evcimen for two reasons: (1) 12 he faulted the opinion for providing only a “vague description of limitations,” and (2) the 13 limitations they described were “not consistent with treatment notes that described only moderate 14 or mild MDD.” AR 23. D.T. contends that the ALJ erred in so doing because he “only provided a 15 conclusory statement with no interpretation of the facts or medical evidence” and “engaged in 16 impermissible cherry-picking by relying only on treatment notes indicating improvement while 17 ignoring other treatment notes indicating continued and severe impairment . . . .” Dkt. No. 19 at 18 16. The Commissioner argues that the ALJ properly considered the entire record, including 19 evidence of severe symptoms, and assigned the proper weight to Ms. Una and Dr. Evcimen’s 20 opinion. Dkt. No. 21 at 4, 5. 21 With respect to the ALJ’s first responsibility—consideration of other factors—the ALJ did 22 not consider all the factors he was required to consider under

20 C.F.R. § 404.927

(c)(2)-(6). 20

23 C.F.R. § 404.927

(c) (“Unless we give a treating source’s medical opinion controlling weight under 24 paragraph (c)(2) of this section, we consider all of the following factors in deciding the weight we 25 give to any medical opinion.”) (emphasis added); see also Ghanim v. Colvin,

763 F.3d 1154

, 1161 26 (9th Cir. 2014) (“The ALJ is required to consider the factors set out in

20 C.F.R. § 404.1527

(c)(2)- 27 (6) in determining how much weight to afford the treating physician’s medical opinion.”). The 1 With respect to the ALJ’s second responsibility—providing reasons for rejecting or 2 discounting the treating physician’s opinion—the ALJ did not expressly find that any other 3 physician contradicted Ms. Una’s and Dr. Evcimen’s opinion. When a treating physician’s 4 opinion is not contradicted by another physician, the ALJ must provide “clear and convincing” 5 reasons for rejecting or discounting the opinion, supported by substantial evidence.

Id. at 675

. 6 Here, the ALJ asserted that Ms. Una’s and Dr. Evcimen’s opinion was “not consistent with 7 treatment notes that described only mild or moderate MDD.” AR 23. 8 D.T. contends that the ALJ erred by “cherry-picking” portions of the medical record that 9 supported his findings and ignored conflicting medical evidence to the contrary. Dkt. No. 19 at 10 16. Upon review of the medical records and the ALJ’s opinion, the Court does not agree. The 11 ALJ noted D.T.’s reports of numerous psychiatric symptoms and her history of trauma, as well as 12 medical providers’ treatment notes noting poor grooming/hygiene, moderate depression and 13 anxiety with congruent affect, crying, pressured speech, tangential thoughts at times, insomnia, 14 and passive suicidal ideation. AR 20–21. D.T. points to multiple treatment notes in the record 15 that she believes demonstrate “continued and severe impairment” that the ALJ disregarded. Dkt. 16 No. 19 at 16–17) (citing AR 281, 270, 271, 423, 428, 414, 369, 727, 725, 630, 826, 821, 823). 17 The ALJ considered and cited to several of these treatment notes, some of which he observed 18 showed improvement in her mental state. AR 21, 22 (citing AR 270, 428, 369, 414, 727). 19 Although the notes D.T. cites do indeed describe her symptoms and ongoing issues 20 (including, for example, her fear of men and of being attacked if she left her home), none of them 21 describes her condition as anything more than mild or moderate, much less “severe” as D.T. 22 claims. At her October 16, 2015 appointment, Dr. Fimiani noted that she continued to show 23 improvement with slightly decreased depressive symptoms, decreased isolation, and reduced fear. 24 AR 281. Dr. Fimiani also noted that she was prone to isolation, but had made some improvement 25 by regularly attending medical appointments, and that she was showing the ability to overcome 26 her fear of others in the context of engaging with her medical care. AR 271. At her November 2, 27 2015 appointment with her primary care physician, Elise Grenier, M.D., Dr. Grenier noted that 1 30, 2015 appointment, Dr. Evcimen noted that she reported feeling down and a lack of motivation 2 but denied any increased anxiety. AR 428–29. He also noted that upon examination, her affect 3 was somewhat depressed, sad, and appropriate for her mood of feeling depressed and not 4 energized.

Id.

5 At her January 3, 2016 appointment with Dr. Fimiani, D.T. reported “feeling better mental 6 wise” and that “I’m able to do things now, I can go out and it’s ok…I still have some trouble with 7 men walking behind me…but it’s better. I still feel fearful and get depressed, but it’s gotten 8 better.” AR 423. He described her mood as moderately depressed.

Id.

At her January 28, 2016 9 appointment with Dr. Fimiani, D.T. again reported “feeling better” overall, and stated that “I can 10 go out now…be around crowds…and come to my appointments,” although “I still don’t like 11 people walking behind me.” AR 414. Dr. Fimiani observed that due to PTSD, she “historically 12 was unable to leave her apartment, could not be around men, and suffered from unmanageable 13 anxiety” but “[i]t is apparent that her mood, hypervigilance, avoidance, and level of [functioning] 14 have improved significant[ly]. She continues to report significant depression and anxiety and her 15 [functioning] remains somewhat impaired by persisting PTSD [symptoms].”

Id.

He described 16 her mood as moderately depressed and anxious, but her low mood, helplessness, and hopelessness 17 were much improved.

Id.

At her June 2, 2016 appointment, despite D.T. uncharacteristically 18 missing therapy sessions and reporting an increase in depressive symptoms, Dr. Fimiani 19 nevertheless described her mood as “mild depression and anxiety.” AR 369. At her July 29, 2016 20 appointment with Dr. Fimiani, she was “somewhat guarded and withdrawn”; however, she 21 reported that her depression and anxiety symptoms were better managed since she resumed taking 22 her medication, and Dr. Fimiani described her mood as “moderate depression and anxiety.” AR 23 727. At her August 2, 2016 appointment, Dr. Fimiani again described her as “somewhat guarded 24 and withdrawn” and again described her mood as “moderate depression and anxiety.” AR 725. 25 At her May 26, 2017 and June 6, 2017 appointments, Dr. Fimiani noted that D.T. 26 continued to report difficulties in social settings secondary to her chronic PTSD, causing her to 27 isolate somewhat. AR 630, 826. However, he also noted that she continued to cope well with her 1 appointment with Dr. Evcimen, she reported feeling some occasional irritability and depression, 2 possibly related to menopause. AR 823. Nevertheless, D.T. was unwilling to change her 3 medication, stating, “I am doing okay.”

Id.

When asked about her mood, she stated, “I am doing 4 really good.” AR 824. At her June 27, 2017 appointment, Dr. Fimiani noted that she continued to 5 report mild to moderate depressive symptoms, including low mood, periodic low motivation, and 6 agitation. AR 821. D.T. discussed an increase in depressive symptoms, including anger and 7 frustration, due to recent relationship difficulties with her daughter.

Id.

Dr. Fimiani nevertheless 8 stated that she continued to cope well with stressors, and that she “used [that day’s] session well to 9 process her feelings and identify the underlying triggers of her increased ‘depression.’”

Id.

He 10 diagnosed her with a moderate episode of MDD.

Id.

11 None of D.T.’s citations to the record reveal anything more severe than a mild or moderate 12 impairment, and the Court finds that the ALJ did not engage in impermissible cherry-picking of 13 the record. The ALJ cited extensively to treatment notes indicating efficacy of medication and the 14 stabilization, improvement, or even remission of D.T.’s mental health conditions, and he therefore 15 provided a clear and convincing reason for rejecting the opinion of Ms. Una and Dr. Evcimen. AR 16 22–23. Nevertheless, the ALJ’s failure to consider the factors listed in

20 C.F.R. § 404.927

(c)(2)- 17 (6) as required is reversible error. Trevizo,

871 F.3d at 676

. 18 B. Treating Psychiatrist Harun Evcimen, M.D. and Treating Psychologist Bret Fimiani, Psy.D. 19 Drs. Evcimen and Fimiani completed a mental functional assessment form for D.T. AR 20 624–25. They state that they have been treating her since September 2015 and diagnosed her with 21 chronic PTSD, mild to moderate depression, substance abuse disorder in remission, and DSM 22 Axis V: 505. AR 624. They noted that she exhibited the following PTSD and complex PTSD 23

24 5 The Court understands this to mean that Drs. Evcimen and Fimiani have assigned D.T. a Global Assessment of Functioning (“GAF”) score of 50. A GAF score “is the clinician’s judgment of the 25 individual’s overall level of functioning. It is rated with respect only to psychological, social, and occupational functioning, without regard to impairments in functioning due to physical or 26 environmental limitations.” Willig v. Berryhill, No. 16-cv-03041-MEJ,

2017 WL 2021369

, at *4 n.2 (N.D. Cal. May 12, 2017) (internal quotation marks and citations omitted). “A GAF score of 27 41-50 indicates serious symptoms (suicidal ideation, severe obsessional rituals[,] frequent 1 symptoms: nightmares, avoidance and hypervigilance, emotional dysregulation, dissociation, 2 isolation, and distrust.

Id.

She exhibited depression symptoms of low mood, anxiety, and 3 isolation.

Id.

The doctors opined that D.T. was markedly impaired in her activities of daily living; 4 social functioning; concentration, persistence, and pace; and her ability to adapt to work type 5 settings. AR 624–25. The bases cited for these limitations were the above described symptoms, 6 D.T.’s report of difficulty with her activities of daily living, and the fact that she had not been 7 employed in 30 years.

Id.

The doctors noted that she reported experiencing this level of 8 impairment for “20+ years.” AR 625. 9 The doctors stated that D.T. was taking Wellbutrin, Hydroxyzine, Lexapro, and Trazedone 10 for her conditions, but did not mention any side effects.

Id.

Their prognosis was:

11 [Client] has been engaged with her psychological, psychiatric, and primary care at [Tenderloin Health Services]. She has exhibited 12 improvement (e.g. mood and PTSD [symptoms] are well managed w/ medications and weekly 1-1 therapy[)]. Substance abuse in 13 remission. [Client] should continue to benefit with continued wrap around care. 14

Id.

The ALJ assigned “little weight” to Drs. Evcimen and Fimiani’s opinion for two reasons: (1) 15 the opinion was inconsistent with treatment notes describing only mild or moderate MDD, and (2) 16 the opinion was inconsistent with D.T.’s testimony that she panhandled daily at locations such as 17 San Francisco Giants games and was able to obtain enough money for food each day. AR 23–24. 18 With respect to the ALJ’s first responsibility—consideration of other factors—the ALJ 19 again did not consider all the factors he was required to consider under

20 C.F.R. § 404.927

(c)(2)- 20 (6).

20 C.F.R. § 404.927

(c) (“Unless we give a treating source’s medical opinion controlling 21 weight under paragraph (c)(2) of this section, we consider all of the following factors in deciding 22 the weight we give to any medical opinion.”) (emphasis added); see also Ghanim,

763 F.3d at 23

1161 (“The ALJ is required to consider the factors set out in

20 C.F.R. § 404.1527

(c)(2)-(6) in 24 determining how much weight to afford the treating physician’s medical opinion.”). Although the 25 ALJ noted that Dr. Fimiani possessed a doctorate in psychology, he did not otherwise discuss the 26 27 1 length or extent of the treatment relationship, the frequency of examination, or either doctor’s 2 specialization. AR 23–24. As a result, it is unclear to what extent, if any, the ALJ considered 3 those other factors and how those factors informed the ALJ’s decision to give Drs. Evcimen and 4 Fimiani’s opinion little weight. 5 With respect to the ALJ’s second responsibility—providing reasons for rejecting or 6 discounting the treating physician’s opinion—the ALJ did not expressly find that any other 7 physician contradicted Drs. Evcimen and Fimiani’s opinion. When a treating physician’s opinion 8 is not contradicted by another physician, the ALJ must provide “clear and convincing” reasons for 9 rejecting or discounting the opinion, supported by substantial evidence. Trevizo,

871 F.3d at 675

. 10 As she did with the opinion of Ms. Una and Dr. Evcimen, D.T. argues that “the ALJ only provided 11 a conclusory statement with no interpretation of the facts or medical evidence.” Dkt. No. 19 at 14. 12 As described above, this argument is not persuasive because the ALJ provided a detailed 13 discussion of the medical evidence of record, which did not indicate that D.T.’s mental health 14 conditions exceeded mild or moderate severity. See supra Section III.A. An ALJ “need not 15 accept the opinion of any physician, including a treating physician, if that opinion is brief, 16 conclusory, and inadequately supported by clinical findings.” Bray v. Comm’r of Soc. Sec., 554

17 F.3d 1219

, 1228 (9th Cir. 2009) (quoting Thomas v. Barnhart,

278 F.3d 947, 957

(9th Cir. 2002)) 18 (internal quotation marks omitted). 19 D.T. further argues that the ALJ erred in relying on his mischaracterization of her 20 testimony concerning her panhandling activities. Dkt. No. 19 at 165. Specifically, she contends 21 that the ALJ incorrectly stated in his decision that she testified to panhandling daily in multiple 22 locations; rather, she testified only as to panhandling in the past and did not describe any particular 23 locations.

Id.

Thus, D.T. says, the ALJ’s rejection of Drs. Evcimen and Fimiani’s opinion based 24 on her panhandling lacked the necessary evidentiary support. The Commissioner contends that 25 the ALJ’s opinion was consistent with information that D.T. gave to her treatment provider— 26 namely, that she engaged in panhandling on multiple occasions. Dkt. No. 21 at 4. 27 The record evidence concerning D.T.’s panhandling activities is very limited. She testified 1 Q. How have you been able to pay for your food if you haven’t worked in the last 25 to 30 years? 2 A. Honestly, I get food stamps right now. So, it buys food – 3 Q. Were you getting them for the whole 25 to 30 years? 4 A. No. When I was – I would panhandle to make money. 5 Q. Okay. So, how long a day would you be panhandling? 6 A. Like 30 minutes. 45 minutes maybe and that’s it. 7 Q. You, you could get enough within 45 minutes to get food for the 8 day?

9 A. Yes. 10 AR 55. The medical records contain only a few mentions of panhandling. On July 25, 2017, Dr. 11 Evcimen referred D.T. to Ms. Una for smoking cessation, AR 814, and Ms. Una noted: “7/25 12 Reasons to stop: disgusting, health - breathing with steps. [Boyfriend] continues to smoke; 13 [patient] admits to low motivation to do much, even on island - panhandling.”6 AR 817. On 14 September 21, 2017, D.T. saw Ms. Una for a follow-up appointment concerning her smoking 15 cessation efforts, and she complained of feeling “burnt out from panhandling.” AR 798–99. On 16 April 4, 2018, D.T. saw Ms. Una for another follow-up appointment, at which D.T. stated that she 17 planned to panhandle at the Giants game that day. AR 755. 18 Although this minimal evidence demonstrates that D.T. engaged in panhandling on a few 19 occasions, and that she once planned to do so at a San Francisco Giants game, there is nothing in 20 the record that suggests she did so on a daily or even regular basis. There is no evidence of how 21 long she relied on panhandling to obtain money for food before she was able to obtain food 22 stamps. Her testimony stating that she only needed to panhandle for 30 to 45 minutes to obtain 23 enough money for food for a day is consistent with her statement to Dr. Zaman that she only ate 24 one meal each day. See AR 616. 25 The ALJ’s opinion fails to explain how this limited evidence of panhandling is inconsistent 26 with D.T.’s asserted impairments or how her panhandling bears on an evaluation of her symptoms 27 1 or her ability to engage in work. See, e.g., Garrison v. Colvin,

759 F.3d 995, 1016

(9th Cir. 2014) 2 (“[OJnly if [the claimant’s] level of activity were inconsistent with [her] claimed limitations would 3 these activities have any bearing on [her] credibility.”) (quoting Reddick v. Chater,

157 F.3d 715

, 4 722 (9th Cir. 1998)) (internal quotation marks omitted); Watkins v. Comm’r, Soc. Sec. Admin., No. 5 3:14-cv-01753-HZ,

2016 WL 184425

, at *5 (D. Or. Jan. 15, 2016) (finding that ALJ erred by, 6 || among other things, failing to explain how claimant’s periodic impulsive wandering, hitchhiking, 7 sleeping under bridges, and panhandling were indicative of his ability to “function in public” at a 8 || higher level than claimant’s treating psychologist assessed). Thus, to the extent the ALJ relied on 9 || D.T.’s purported daily panhandling at multiple San Francisco Giants games as a reason to reject 10 || Drs. Evcimen and Fimiani’s opinion, that reliance is not based on substantial evidence. ll Because the ALJ again failed to consider the factors listed in

20 C.F.R. § 404.927

(c)(2)-(6) 12 || as required, his rejection of Drs. Evciman and Fimiani’s opinion is reversible error. Trevizo, 871 5 13 || F.3d at 676. 14 || IV. DISPOSITION 15 “When the ALJ denies benefits and the court finds error, the court ordinarily must remand a 16 || to the agency for further proceedings before directing an award of benefits.” Leon v. Berryhill, 3 17

880 F.3d 1041, 1045

(9th Cir. 2017) (citing Treichler v. Comm’r of Soc. Sec. Admin.,

775 F.3d 18 1090, 1099

(9th Cir. 2014)). On remand, the ALJ must reassess Ms. Una’s and Drs. Evcimen and 19 Fimiani’s opinions in view of the record as a whole and provide legally adequate reasons for any 20 || portion of that opinion or statement that the ALJ discounts or rejects. 21 Based on the foregoing, D.T.’s motion for summary judgment is granted on the grounds 22 || explained above, the Commissioner’s cross-motion for summary judgment is denied, and this 23 matter is remanded for further proceedings consistent with this order. The Clerk of the Court shall 24 || enter judgment accordingly and close the file. 25 IT IS SO ORDERED. 26 || Dated: May 11, 2021 □□ 28

28 VIRGINIA K. DEMARCHI United States Magistrate Judge

Reference

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