# (SS) Mazon v. Commissioner of Social Security

> District Court, E.D. California · May 1, 2023

URL: https://www.frixlaw.com/law-library/cases/10052404

## Case

- **Court:** District Court, E.D. California
- **Decided:** May 1, 2023
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10052404

## Opinion text

1

2

3

4

5

6

7

8
UNITED STATES DISTRICT COURT
9
EASTERN DISTRICT OF CALIFORNIA
10

11 CARLA ROXANNE MAZON, Case No. 1:22-cv-00342-SAB

12 Plaintiff, ORDER DENYING PLAINTIFF’S MOTION
FOR SUMMARY JUDGMENT, GRANTING
13 v. DEFENDANT’S CROSS-MOTION FOR
SUMMARY JUDGMENT, AND DENYING
14 COMMISSIONER OF SOCIAL PLAINTIFF’S SOCIAL SECURITY APPEAL
SECURITY,
15 (ECF Nos. 16, 17, 18)
Defendant.
16
17 I.
18 INTRODUCTION
19 Carla Roxanne Mazon (“Plaintiff”) seeks judicial review of a final decision of the
20 Commissioner of Social Security (“Commissioner” or “Defendant”) denying her application for
21 disability benefits pursuant to the Social Security Act. The matter is currently before the Court
22 on the parties’ cross-motions for summary judgment, which were submitted, without oral
23 argument, to Magistrate Judge Stanley A. Boone.1 Plaintiff requests the decision of
24 Commissioner be vacated and the case be remanded for further proceedings arguing the
25 Administrative Law Judge failed to include work-related limitations in the residual functional
26 capacity finding consistent with the nature and intensity of Plaintiff’s limitations, and failed to
27
1 The parties have consented to the jurisdiction of the United States Magistrate Judge and this action has been
1 offer clear and convincing reasons for discounting her subjective complaints. For the reasons
2 explained herein, Plaintiff’s motion for summary judgment shall be denied, Defendant’s cross-
3 motion for summary judgment shall be granted, and Plaintiff’s social security appeal shall thus
4 be denied.
5 II.
6 BACKGROUND
7 A. Procedural History
8 On October 7, 2019, Plaintiff filed a Title II application for a period of disability
9 insurance benefits, and a Title XVI application for supplemental income benefits, alleging a
10 period of disability beginning on January 1, 2019. (AR 196-202, 203-212.) Plaintiff’s
11 application was initially denied on January 3, 2020, and denied upon reconsideration on April
12 15, 2020. (AR 87-88, 111-12.) Plaintiff requested and received a hearing before Administrative
13 Law Judge Christina Young Mein (the “ALJ”). (AR 128-143.) Plaintiff appeared for a
14 telephonic hearing before the ALJ on February 24, 2021. (AR 31-64.) On March 17, 2021, the
15 ALJ issued a decision finding that Plaintiff was not disabled. (AR 12-30.) The Appeals Council
16 denied Plaintiff’s request for review on January 25, 2022. (AR 1-8.)
17 On March 23, 2022, Plaintiff filed this action for judicial review. (ECF No. 1.) On July
18 11, 2022, Defendant filed the administrative record (“AR”) in this action. (ECF No. 13.) On
19 October 24, 2022, Plaintiff filed an opening brief. (Pl.’s Opening Br. (“Br.”), ECF No. 16.) On
20 January 30, 2023, Defendant filed an opposition brief. (Def.’s Opp’n (“Opp’n”), ECF No. 17.)
21 Plaintiff filed a reply brief on February 14, 2023. (ECF No. 18.)
22 B. The ALJ’s Findings of Fact and Conclusions of Law
23 The ALJ made the following findings of fact and conclusions of law as of the date of the
24 decision, March 17, 2021:
25 • The claimant meets the insured status requirements of the Social Security Act through
26 December 31, 2023.
27 • The claimant has not engaged in substantial gainful activity since January 1, 2019, the
1 • The claimant has the following severe impairments: obesity; fibromyalgia;
2 degenerative disc disease; depressive disorder; and post-traumatic stress disorder (20
3 CFR 404.1520(c) and 416.920(c)).
4 • The claimant does not have an impairment or combination of impairments that meets
5 or medically equals the severity of one of the listed impairments in 20 CFR Part 404,
6 Subpart P, Appendix 1 (20 CFR 404.1520(d), 404.1525, 404.1526, 416.920(d),
7 416.925 and 416.926).
8 • The claimant has the residual functional capacity to perform light work as defined in
9 20 CFR 404.1567(b) and 416.967(b) with some additional limitations. Specifically,
10 she can lift and carry 20 pounds occasionally and 10 pounds frequently. She can sit 6
11 hours and stand or walk 6 hours in an 8-hour workday. She can occasionally climb
12 ramps and stairs, but never climb ladders, ropes or scaffolds. She can occasional[ly]
13 balance on uneven surfaces, stoop, kneel, crouch and crawl. She needs to avoid
14 concentrated exposure to extreme cold and heat, humidity, fumes, odors, dusts, gases
15 and poor ventilation. She cannot work around unprotected heights or hazardous
16 unshielded moving machinery. She can understand, remember and carry out simple
17 and routine tasks that may entail detailed but uninvolved instructions. She can
18 occasionally interact with coworkers and supervisors but cannot interact with the
19 public in the performance of job duties. She can adapt to normal changes in an
20 unskilled work setting.
21 • The claimant is capable of performing past relevant work as a routing clerk, DOT#
22 222.687-022, a light exertional level, SVP 2 job. This work does not require the
23 performance of work-related activities precluded by the claimant’s residual functional
24 capacity (20 CFR 404.1565 and 416.965).
25 (AR 17-26.)
26 / / /
27 / / /
1 III.
2 LEGAL STANDARD
3 A. The Disability Standard
4 To qualify for disability insurance benefits under the Social Security Act, a claimant must
5 show she is unable “to engage in any substantial gainful activity by reason of any medically
6 determinable physical or mental impairment2 which can be expected to result in death or which
7 has lasted or can be expected to last for a continuous period of not less than 12 months.” 42
8 U.S.C. § 423(d)(1)(A). The Social Security Regulations set out a five-step sequential evaluation
9 process to be used in determining if a claimant is disabled. 20 C.F.R. § 404.1520;3 Batson v.
10 Comm’r of Soc. Sec. Admin., 359 F.3d 1190, 1194 (9th Cir. 2004). The five steps in the
11 sequential evaluation in assessing whether the claimant is disabled are:
12 Step one: Is the claimant presently engaged in substantial gainful
activity? If so, the claimant is not disabled. If not, proceed to step
13 two.
14 Step two: Is the claimant’s alleged impairment sufficiently severe
to limit his or her ability to work? If so, proceed to step three. If
15 not, the claimant is not disabled.
16 Step three: Does the claimant’s impairment, or combination of
impairments, meet or equal an impairment listed in 20 C.F.R., pt.
17 404, subpt. P, app. 1? If so, the claimant is disabled. If not,
proceed to step four.
18
Step four: Does the claimant possess the residual functional
19 capacity (“RFC”) to perform his or her past relevant work? If so,
the claimant is not disabled. If not, proceed to step five.
20
Step five: Does the claimant’s RFC, when considered with the
21 claimant’s age, education, and work experience, allow him or her
to adjust to other work that exists in significant numbers in the
22 national economy? If so, the claimant is not disabled. If not, the
claimant is disabled.
23
24

25
2 A “physical or mental impairment” is one resulting from anatomical, physiological, or psychological abnormalities
that are demonstrable by medically acceptable clinical and laboratory diagnostic techniques. 42 U.S.C. § 423(d)(3).

26
3 The regulations which apply to disability insurance benefits, 20 C.F.R. §§ 404.1501 et seq., and the regulations
which apply to SSI benefits, 20 C.F.R. §§ 416.901 et seq., are generally the same for both types of benefits.
27 Accordingly, while Plaintiff seeks only Social Security benefits under Title II in this case, to the extent cases cited
herein may reference one or both sets of regulations, the Court notes these cases and regulations are applicable to the
1 Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 2006). The burden of proof is
2 on the claimant at steps one through four. Ford v. Saul, 950 F.3d 1141, 1148 (9th Cir. 2020). A
3 claimant establishes a prima facie case of qualifying disability once she has carried the burden of
4 proof from step one through step four.
5 Before making the step four determination, the ALJ first must determine the claimant’s
6 RFC. 20 C.F.R. § 416.920(e); Nowden v. Berryhill, No. EDCV 17-00584-JEM, 2018 WL
7 1155971, at *2 (C.D. Cal. Mar. 2, 2018). The RFC is “the most [one] can still do despite [her]
8 limitations” and represents an assessment “based on all the relevant evidence.” 20 C.F.R. §§
9 404.1545(a)(1); 416.945(a)(1). The RFC must consider all of the claimant’s impairments,
10 including those that are not severe. 20 C.F.R. §§ 416.920(e); 416.945(a)(2); Social Security
11 Ruling (“SSR”) 96-8p, available at 1996 WL 374184 (Jul. 2, 1996).4 A determination of RFC is
12 not a medical opinion, but a legal decision that is expressly reserved for the Commissioner. See
13 20 C.F.R. §§ 404.1527(d)(2) (RFC is not a medical opinion); 404.1546(c) (identifying the ALJ
14 as responsible for determining RFC). “[I]t is the responsibility of the ALJ, not the claimant’s
15 physician, to determine residual functional capacity.” Vertigan v. Halter, 260 F.3d 1044, 1049
16 (9th Cir. 2001).
17 At step five, the burden shifts to the Commissioner, who must then show that there are a
18 significant number of jobs in the national economy that the claimant can perform given her RFC,
19 age, education, and work experience. 20 C.F.R. § 416.912(g); Lounsburry v. Barnhart, 468 F.3d
20 1111, 1114 (9th Cir. 2006). To do this, the ALJ can use either the Medical Vocational
21 Guidelines (“grids”), or rely upon the testimony of a VE. See 20 C.F.R. § 404 Subpt. P, App. 2;
22 Lounsburry, 468 F.3d at 1114; Osenbrock v. Apfel, 240 F.3d 1157, 1162 (9th Cir. 2001).
23 “Throughout the five-step evaluation, the ALJ is responsible for determining credibility,
24 resolving conflicts in medical testimony, and for resolving ambiguities.’ ” Ford, 950 F.3d at
25 1149 (quoting Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995)).
26
4 SSRs are “final opinions and orders and statements of policy and interpretations” issued by the Commissioner. 20
27 C.F.R. § 402.35(b)(1). While SSRs do not have the force of law, the Court gives the rulings deference “unless they
are plainly erroneous or inconsistent with the Act or regulations.” Han v. Bowen, 882 F.2d 1453, 1457 (9th Cir.
1 B. Standard of Review
2 Congress has provided that an individual may obtain judicial review of any final decision
3 of the Commissioner of Social Security regarding entitlement to benefits. 42 U.S.C. § 405(g).
4 In determining whether to reverse an ALJ’s decision, the Court reviews only those issues raised
5 by the party challenging the decision. See Lewis v. Apfel, 236 F.3d 503, 517 n.13 (9th Cir.
6 2001). Further, the Court’s review of the Commissioner’s decision is a limited one; the Court
7 must find the Commissioner’s decision conclusive if it is supported by substantial evidence. 42
8 U.S.C. § 405(g); Biestek v. Berryhill, 139 S. Ct. 1148, 1153 (2019). “Substantial evidence is
9 relevant evidence which, considering the record as a whole, a reasonable person might accept as
10 adequate to support a conclusion.” Thomas v. Barnhart (Thomas), 278 F.3d 947, 954 (9th Cir.
11 2002) (quoting Flaten v. Sec’y of Health & Human Servs., 44 F.3d 1453, 1457 (9th Cir. 1995));
12 see also Dickinson v. Zurko, 527 U.S. 150, 153 (1999) (comparing the substantial-evidence
13 standard to the deferential clearly-erroneous standard). “[T]he threshold for such evidentiary
14 sufficiency is not high.” Biestek, 139 S. Ct. at 1154. Rather, “[s]ubstantial evidence means
15 more than a scintilla, but less than a preponderance; it is an extremely deferential standard.”
16 Thomas v. CalPortland Co. (CalPortland), 993 F.3d 1204, 1208 (9th Cir. 2021) (internal
17 quotations and citations omitted); see also Smolen v. Chater, 80 F.3d 1273, 1279 (9th Cir. 1996).
18 Even if the ALJ has erred, the Court may not reverse the ALJ’s decision where the error is
19 harmless. Stout, 454 F.3d at 1055–56. Moreover, the burden of showing that an error is not
20 harmless “normally falls upon the party attacking the agency’s determination.” Shinseki v.
21 Sanders, 556 U.S. 396, 409 (2009).
22 Finally, “a reviewing court must consider the entire record as a whole and may not affirm
23 simply by isolating a specific quantum of supporting evidence.” Hill v. Astrue, 698 F.3d 1153,
24 1159 (9th Cir. 2012) (quoting Robbins v. Soc. Sec. Admin., 466 F.3d 880, 882 (9th Cir. 2006)).
25 Nor may the Court affirm the ALJ on a ground upon which he did not rely; rather, the Court may
26 review only the reasons stated by the ALJ in his decision. Orn v. Astrue, 495 F.3d 625, 630 (9th
27 Cir. 2007); see also Connett v. Barnhart, 340 F.3d 871, 874 (9th Cir. 2003). Nonetheless, it is
1 judgment for the ALJ’s; rather, if the evidence “is susceptible to more than one rational
2 interpretation, it is the ALJ’s conclusion that must be upheld.” Ford, 950 F.3d at 1154 (quoting
3 Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005)).
4 IV.
5 DISCUSSION AND ANALYSIS
6 Plaintiff argues The ALJ failed to include work-related limitations in the RFC consistent with
7 the nature and intensity of Plaintiff’s limitations and failed to offer clear and convincing reasons for
8 discounting his subjective complaints. (Br. 9.) For the reasons explained below, the Court
9 concludes the ALJ provided clear and convincing reasons to discount plaintiff’s symptom
10 testimony and did not err in deciding to omit such limitations from the RFC assessment.
11 A. The Clear and Convincing Standard for Evaluating Symptom Testimony5
12 The ALJ is responsible for determining credibility,6 resolving conflicts in medical
13 testimony, and resolving ambiguities. Andrews, 53 F.3d at 1039. A claimant’s statements of
14 pain or other symptoms are not conclusive evidence of a physical or mental impairment or
15 disability. 42 U.S.C. § 423(d)(5)(A); SSR 16-3p; see also Orn, 495 F.3d at 635 (“An ALJ is not
16 required to believe every allegation of disabling pain or other non-exertional impairment.”)
17 (internal quotation marks and citation omitted).
18 Determining whether a claimant’s testimony regarding subjective pain or symptoms is
19 credible requires the ALJ to engage in a two-step analysis. Molina v. Astrue, 674 F.3d 1104,
20 1112 (9th Cir. 2012). The ALJ must first determine if “the claimant has presented objective
21 medical evidence of an underlying impairment which could reasonably be expected to produce
22 the pain or other symptoms alleged.” Lingenfelter, 504 F.3d at 1036 (internal punctuation and
23 citations omitted). This does not require the claimant to show that her impairment could be
24

25
5 Although Defendant maintains disagreement with the standard in order to preserve the issue for future appeals,
Defendant acknowledges the clear and convincing standard is the applicable standard for weighing credibility in the
Ninth Circuit. (Opp’n 6 n.6.)
26

6 SSR 16-3p applies to disability applications heard by the agency on or after March 28, 2016. Ruling 16-3p
27 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 ability to perform work-related
1 expected to cause the severity of the symptoms that are alleged, but only that it reasonably could
2 have caused some degree of symptoms. Smolen, 80 F.3d at 1282.
3 Second, if the first test is met and there is no evidence of malingering, the ALJ can only
4 reject the claimant’s testimony regarding the severity of her symptoms by offering “clear and
5 convincing reasons” for the adverse credibility finding. Carmickle v. Commissioner of Social
6 Security, 533 F.3d 1155, 1160 (9th Cir. 2008). The ALJ must make findings that support this
7 conclusion and the findings must be sufficiently specific to allow a reviewing court to conclude
8 the ALJ rejected the claimant’s testimony on permissible grounds and did not arbitrarily discredit
9 the claimant’s testimony. Moisa v. Barnhart, 367 F.3d 882, 885 (9th Cir. 2004).
10 Factors that may be considered in assessing a claimant’s subjective pain and symptom
11 testimony include the claimant’s daily activities; the location, duration, intensity and frequency
12 of the pain or symptoms; factors that cause or aggravate the symptoms; the type, dosage,
13 effectiveness or side effects of any medication; other measures or treatment used for relief;
14 functional restrictions; and other relevant factors. Lingenfelter, 504 F.3d at 1040; Thomas, 278
15 F.3d at 958. In assessing the claimant’s credibility, the ALJ may also consider “(1) ordinary
16 techniques of credibility evaluation, such as the claimant’s reputation for lying, prior inconsistent
17 statements concerning the symptoms, and other testimony by the claimant that appears less than
18 candid; [and] (2) unexplained or inadequately explained failure to seek treatment or to follow a
19 prescribed course of treatment.” Tommasetti, 533 F.3d at 1039 (quoting Smolen, 80 F.3d at
20 1284).
21 B. Plaintiff’s Arguments
22 Plaintiff argues the ALJ only vaguely asserted that Plaintiff’s statements about his
23 symptoms were not “entirely consistent with the medical evidence and other evidence in the
24 record for the reasons explained in th[e] decision,” (AR 20), then only simply proceeded to
25 summarize medical records, objective findings, treatment, and weigh the opinion evidence, (AR
26 20-23), but failed to state a clear and convincing reason for rejecting Plaintiff’s testimony. See
27 Lambert v. Saul, 980 F.3d 1266, 1278 (9th Cir. 2020) (“Although the ALJ did provide a
1 evidence ... is not the same as providing clear and convincing reasons for finding the claimant's
2 symptom testimony not credible.’ ” (emphasis in quoted source) (quoting Brown-Hunter, 806
3 F.3d at 494)). Specifically, Plaintiff supports this contention as follows:
4 The ALJ’s general summary of evidence offers no findings or
conclusions as to what evidence undermines which portions of
5 Plaintiff’s alleged limitations. Nowhere in the hearing decision
does the ALJ “identify the testimony [he] found not credible and
6 link that testimony to the particular parts of the record supporting
[his] non-credibility determination.” Brown-Hunter v. Colvin, 806
7 F.3d 487, 494 (9th Cir. 2015). Instead, the ALJ simply
summarized Plaintiff’s testimony and treatment record without
8 connecting any of Plaintiff’s subjective complaints to the evidence
allegedly undermining them. This was error. The ALJ failed to
9 provide clear and convincing reasons for rejecting Plaintiff’s
complaints of pain and reduced range of motion.
10
Defendant may argue that the ALJ’s summary of the objective
11 evidence constitutes an explanation for rejecting Plaintiff’s
testimony. However, the objective findings include significant
12 imaging and clinical findings which are consistent with Plaintiff’s
complaints, and the ALJ failed to explain how these findings
13 contradict his alleged symptoms. A summary of evidence, by
itself, is not a specific reason for discounting subjective symptoms.
14 Klev v. Astrue, 2012 WL 3728040, at *6 n.4 (E.D. Cal. Aug. 24,
2012). In rejecting Plaintiff’s subjective complaints, the ALJ did
15 not evaluate any of the criteria in the regulations or SSR 16-3p,
which direct how an ALJ should consider subjective complaints.
16
17 (Br. 10-11.) Plaintiff submits that the “ALJ’s ultimate conclusion at Step Five, rendered based
18 upon the unsupported RFC determination, is unsupported by substantial evidence because the
19 ALJ failed to consider the impact of all of Plaintiff’s symptoms, including severe pain and
20 fatigue, related to her severe impairments.” (Br. 12.) Plaintiff requests remand for proper
21 consideration of Plaintiff’s pain and resulting functional limitations.
22 C. The Court Finds the ALJ Properly Provided Clear and Convincing Reasons
23 The Ninth Circuit recently explained that even though a record might support a different
24 interpretation, “[t]he standard isn’t whether our court is convinced, but instead whether the
25 ALJ’s rationale is clear enough that it has the power to convince.” Smartt v. Kijakazi, 53 F.4th
26 489, 494 (9th Cir. 2022). While Plaintiff argues the ALJ only provided a summary of the
27 evidence without explaining the rationale behind the decision, or failed to give specific reasons,
1 show his work, which the ALJ did here.”).
2 Based on the Court’s review of the ALJ’s opinion, after reviewing Plaintiff’s testimony
3 and the record evidence, the ALJ explained how she considered the contrary medical opinions,
4 objective medical evidence concerning Plaintiff’s physical and mental impairments, Plaintiff’s
5 conservative treatment history for pain and mental symptoms, Plaintiff’s response to treatment
6 with medication, the frequency of treatment for mental symptoms, and her activities of daily
7 living. (AR 24.) The Court first excerpts the conclusion of the ALJ that summarizes the
8 independent reasons for the ALJ’s determination as to Plaintiff’s symptom testimony, and then
9 turns to address whether each rationale was properly supported and is a clear and convincing
10 reason as to the record as a whole in this matter. The ALJ concluded the RFC finding in relation
11 to the reasons weighing the symptom testimony as follows:
12 Based on the foregoing, I find the claimant has the above residual
functional capacity assessment, which is supported by the
13 objective medical evidence as a whole, as well as the available
opinion evidence with regard to the claimant’s functionality during
14 the period at issue. The record reflects persistent pain complaints
over time. Diffuse tenderness is noted in the record, as well as
15 range of motion restrictions. However, there are limited findings
with respect to imaging studies. Old images on file are consistent
16 with degenerative changes in the claimant’s spine. However, the
claimant’s course of treatment has been largely conservative, and
17 she has reported some response to treatment with medication. With
regard to her mental impairments, the record reflects only
18 intermittent treatment during the period at issue. The claimant has
reported symptoms of depression and PTSD over time. However,
19 she has presented with grossly normal mental statuses, and the
record reflects overall stability. She has generally denied suicidal
20 ideation, and has not required inpatient or emergency treatment for
mental impairments. Further, the record reflects a relatively normal
21 level of activities of daily living, with the claimant continuing to
provide childcare for her children and to perform common
22 household chores such as cleaning. Given all of these factors, the
allegations with regard to the intensity, persistence, and limiting
23 effects of the claimant’s impairments are found to be not entirely
consistent with or supported by the evidence as a whole. The
24 residual functional capacity found above takes into account the full
range of the claimant’s documented symptomology over the period
25 at issue.
26 (AR 24.)
27 Generally, the Court agrees with Defendant that the ALJ’s sequence of summarizing
1 decision writing. The Court further finds it is sufficiently clear for judicial review, and for the
2 reasons explained below, are rationally and sufficiently connected to evidence in the record and
3 analysis in the decision to be upheld. Smartt, 53 F.4th at 494 (“Where the evidence is
4 susceptible to more than one rational interpretation, the ALJ's decision must be affirmed.”)
5 (citation omitted); Kaufmann v. Kijakazi, 32 F.4th 843, 851 (9th Cir. 2022) (“Looking to all the
6 pages of the ALJ's decision, the court held that, contrary to its original ruling, the ALJ had, in
7 fact, explained which daily activities conflicted with which parts of Claimant’s testimony.”)
8 (emphasis in original); Razaqi v. Kijakazi, No. 1:20-CV-01705-GSA, 2022 WL 1460204, at *5
9 (E.D. Cal. May 9, 2022) (“The ALJ did not necessarily match each piece of evidence with the
10 testimony it purportedly undermined, but no controlling precedent requires that level of
11 specificity. No inferential leaps are required to find the ALJ’s reasoning clear and convincing.”).
12 1. Conflict with the Opinions of Record
13 In the paragraph stating the ALJ’s findings regarding Plaintiff’s testimony, the ALJ found
14 that the RFC finding “is supported by . . . the available opinion evidence with regard to the
15 claimant’s functionality during the period at issue.” (AR 24.) Earlier in the decision, the ALJ
16 found generally persuasive the prior administrative medical findings from Drs. Spellman and
17 Spoor regarding Plaintiff’s ability to perform modified light work. (AR 23, 71-73, 95-97.)
18 Similarly, the ALJ found persuasive the opinion of consultative psychiatric examiner Dr.
19 Michiel, who opined that Plaintiff could carry out simple job instructions, including interacting
20 with coworkers, supervisors and the public in the routine setting of simple job instructions. (AR
21 23-24, 320-24.)
22 Plaintiff does not meaningfully challenge the ALJ’s reliance on these opinions, and
23 mounts no specific reply to this factor. This is a proper factor for the ALJ to weigh symptom
24 testimony. See 20 C.F.R. § 404.1529(c)(3), (4) (“Section 404.1520c explains in detail how we
25 consider medical opinions and prior administrative medical findings about the nature and
26 severity of your impairment(s) and any related symptoms, such as pain.”). Significantly, there
27 were no more restrictive opinions in the record regarding Plaintiff’s physical or mental capacity.
1 substantial evidence in the record and is one of multiple clear and convincing reasons in the
2 opinion. See Carmickle, 533 F.3d at 1161 (examining source’s opinion proper basis for rejecting
3 a claimant’s testimony); Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1175 (9th Cir. 2008) (“In
4 addition, the medical evidence, including Dr. Eather’s report and Dr. Neville's report—which
5 both found Stubbs–Danielson could perform a limited range of work—support the ALJ’s
6 credibility determination.”).
7 2. ALJ’s Analysis and Reliance on Objective Findings
8 A lack of objective medical evidence is insufficient standing alone under the clear and
9 convincing standard. See 20 C.F.R. § 404.1529(c)(2) (“Objective medical evidence of this type
10 is a useful indicator to assist us in making reasonable conclusions about the intensity and
11 persistence of your symptoms and the effect those symptoms, such as pain, may have on your
12 ability to work . . . [h]owever, we will not reject your statements about the intensity and
13 persistence of your pain or other symptoms or about the effect your symptoms have on your
14 ability to work solely because the available objective medical evidence does not substantiate
15 your statements.”); Rollins v. Massanari, 261 F.3d 853, 857 (9th Cir. 2001) (“While subjective
16 pain testimony cannot be rejected on the sole ground that it is not fully corroborated by objective
17 medical evidence, the medical evidence is still a relevant factor in determining the severity of the
18 claimant’s pain and its disabling effects . . . [and] [t]he ALJ also pointed out ways in which
19 Rollins’ claim to have totally disabling pain was undermined by her own testimony about her
20 daily activities.”) (citing 20 C.F.R. § 404.1529(c)(2)); Vertigan, 260 F.3d at 1049 (“The fact that
21 a claimant’s testimony is not fully corroborated by the objective medical findings, in and of
22 itself, is not a clear and convincing reason for rejecting it.”); Burch, 400 F.3d at 680-81
23 (“Although lack of medical evidence cannot form the sole basis for discounting pain testimony,
24 it is a factor that the ALJ can consider in his credibility analysis.”).
25 Nonetheless, as this Court has maintained, there is a difference between a lack of
26 objective medical evidence, and inconsistency with the objective medical evidence. See Garcia
27 v. Comm’r of Soc. Sec., No. 1:21-CV-00328-BAK, 2022 WL 3908307, at *9–12 (E.D. Cal. Aug.
1 testimony and medical evidence being inconsistent is critical because the latter may qualify as a
2 specific, clear, and convincing reason to reject a plaintiff's testimony while the former does
3 not.”). Indeed, the Ninth Circuit has recently clarified this difference:
4 Claimants like Smartt sometimes mischaracterize Burch as
completely forbidding an ALJ from using inconsistent objective
5 medical evidence in the record to discount subjective symptom
testimony. That is a misreading of Burch. When objective medical
6 evidence in the record is inconsistent with the claimant’s
subjective testimony, the ALJ may indeed weigh it as undercutting
7 such testimony. We have upheld ALJ decisions that do just that in
many cases. [citations]
8
Instead, what Burch requires is that an ALJ cannot insist on clear
9 medical evidence to support each part of a claimant's subjective
pain testimony when there is no objective testimony evincing
10 otherwise. That is, an ALJ cannot effectively render a claimant's
subjective symptom testimony superfluous by demanding positive
11 objective medical evidence “fully corroborat[ing]” every allegation
within the subjective testimony. Burch, 400 F.3d at 681; see
12 also Luna v. Bowen, 834 F.2d 161, 165 (10th Cir. 1987) (“If
objective medical evidence must establish that severe pain exists,
13 subjective testimony serves no purpose at all.”). That—and only
that—is what Burch forbids.
14
Indeed, if Burch was applied as aggressively as Smartt insists, an
15 ALJ would be required in many cases to simply accept a claimant's
subjective symptom testimony notwithstanding inconsistencies
16 between that testimony and the other objective medical evidence in
the record, allowing a claimant's subjective evidence to effectively
17 trump all other evidence in a case. This misinterpretation
of Burch conflicts with other precedents from our court, where
18 we've made clear that an ALJ is not “required to believe every
allegation of disabling pain, or else disability benefits would be
19 available for the asking, a result plainly contrary to” the Social
Security Act. Molina v. Astrue, 674 F.3d 1104, 1112 (9th Cir.
20 2012) (quoting Fair v. Bowen, 885 F.2d 597, 603 (9th Cir.
1989)), superseded on other grounds by 20 C.F.R. § 404.1502(a).
21
22 Smartt, 53 F.4th at 498–99.
23 The ALJ considered that objective examination findings only partially supported
24 Plaintiff’s testimony (AR 24). For Plaintiff’s physical complaints, the ALJ noted the record
25 indicated “[d]iffuse tenderness . . . range of motion restrictions . . . [and] limited findings with
26 respect to imaging studies,” which the ALJ found “consistent with degenerative changes in the
27 claimant’s spine” per “[o]ld images on file.” (AR 20, 24.) Despite Plaintiff’s challenge, the
1 were older in the context of this record, in which Plaintiff alleged that her disability began over
2 three years later on January 1, 2019 (AR 15, 24, 203, 213). Ruckdashel v. Colvin, 672 F. App’x
3 745, 746 (9th Cir. 2017) (“The ALJ provided clear and convincing reasons for partially rejecting
4 Ruckdashel’s testimony by stating that Ruckdashel worked full time with her impairments for
5 several years without issue and her course of treatment was relatively conservative.”). Further,
6 that is essentially the only specifically expressed challenge by Plaintiff to the evaluation of the
7 objective medical evidence. (See Br. 11.)
8 Regarding Plaintiff’s mental symptoms, the ALJ found that Plaintiff “has reported
9 symptoms of depression and PTSD over time. However, she has presented with grossly normal
10 mental statuses.” (AR 24.) Immediately prior in the decision, the ALJ discussed that Dr.
11 Michiel’s consultative examination reflected “grossly normal memory and concentration.” (AR
12 24, 322-23.) Dr. Michiel observed that Plaintiff was fairly groomed, casually dressed with
13 adequate personal hygiene, there were no involuntary movements or specific mannerisms,
14 Plaintiff kept fair eye contact, speech was normal with slight latency, she denied suicidal or
15 homicidal ideation, thought process was goal directed, thought content was not delusional, she
16 could remember five digits forward and backwards, she recalled three out of three items
17 immediately and after five minutes, and there were no recorded deficits with memory. (AR 322-
18 23.)
19 The ALJ also discussed that when Plaintiff established care in April 2018, she had
20 recently experienced worsening of depressive symptoms after the birth of her child in January
21 2018. (AR 22, 479.) She denied suicidal ideation. (AR 479.) On examination, Plaintiff had
22 logical thought process with some initial tangentiality that improved over the assessment, fair to
23 intact memory, and fair insight and judgment alongside her symptoms of fluctuating, irritable,
24 depressed, and anxious mood. (AR 24, 482.) In August 2018, Plaintiff had normal cognition
25 and speech in August 2018 (AR 22, 470-71 (cooperative, normal cognition, speech, and
26 orientation; organized thought process; average intelligence).) Plaintiff reported some suicidal
27 ideation that had ceased within two months. (AR 472 (“now went away”).) Plaintiff wanted to
1 October 2020, Plaintiff’s mental status examination reflected average insight, that Plaintiff was
2 alert and oriented, she had reasonable recent and remote memories, her mood was fair, and she
3 had “proper responses and attitude” during the examination. (AR 487.)
4 The Court finds these portions of the ALJ’s opinion in relation to the record provide
5 additional support for the finding that the ALJ properly relied on the objective medical evidence
6 in evaluating the Plaintiff’s symptom testimony. Molina, 674 F.3d at 1113 (“[T]he ALJ
7 supported her conclusion that Molina was not credible on the additional grounds that Molina's
8 allegations were undermined by her demeanor and presentation as described by Dr. Yost.”).
9 Plaintiff has not specifically mounted challenges to the ALJ’s evaluation of the mental status
10 examinations in initial briefing or reply. (Br. 10-12; see Reply generally.)
11 Accordingly, the Court concludes that the ALJ sufficiently summarized, and evaluated
12 the objective evidence in the context of all of the evidence in the record. (AR 20-24.) As part of
13 the overall analysis, the Court finds the ALJ properly found the objective medical evidence did
14 not support Plaintiff’s claims of disabling symptoms and functional limitations. The Court
15 concludes the ALJ’s evaluation of the objective medical evidence presents a clear and
16 convincing reason to reject the Plaintiff’s claims, in conjunction with other reasons. Smartt, 53
17 F.4th at 498–99; Tommasetti, 533 F.3d at 1041; Carmickle, 533 F.3d at 1161.
18 3. Conservative Treatment
19 The ALJ further found that Plaintiff’s “course of treatment has largely been conservative,
20 and she has reported some response to treatment with medication” for her physical symptoms.
21 (AR 21 (discussing treatment with medication), 24.) Plaintiff argues the ALJ failed to support
22 the assertion that some improvement in Plaintiff’s pain undermines her reported limitations due
23 to pain, as [e]ven when the treatment provided some improvement of Plaintiff's symptoms, the
24 medical evidence consistently shows that she remained in significant pain.” Jana D. R. v. Saul,
25 5:20-CV-01098-AFM, 2021 WL 2826436, at *4 (C.D. Cal. July 7, 2021).
26 As Defendant highlights, the ALJ’s earlier summary of the evidence showed that her
27 doctors treated her with medications in response to her reports of pain and tenderness (AR 21),
1 medications provided adequate pain control. Pain specialist Thomas J. O’Laughlin, M.D.,
2 treated Plaintiff from February 2019 through early 2020 (AR 310; AR 294-315, 369-444, 451-
3 66). Defendant notes that aside from two isolated exceptions in late 2019, Plaintiff checked
4 “yes” in numerous questionnaires from Dr. O’Laughlin’s office in response to questions asking if
5 medication helped her to sufficiently take care of activities of daily living, and if medications
6 provided her with adequate pain relief. (AR 295 (September 2019), 297 (August 2019), 299
7 (July 2019), 301 (June 2019), 303 (August 2018), 305 (July 2019), 307 (March 2019), 309
8 (February 2019), 369 (February 2020), 372 (January 2019), 376 (December2019), 379
9 (November 2019), 383 (October 2019), 399 (June 2019), 402 (May 2018), 424 (March 2020);
10 AR 462 (“Soma really helps” in April 2020).)
11 Plaintiff does not mount any specific argument in reply to these records. The Court finds
12 the ALJ’s rationale is supported by substantial evidence in the record, and is a clear and
13 convincing reason for discounting Plaintiff’s symptom testimony in consideration of the record
14 as a whole. Parra v. Astrue, 481 F.3d 742, 751 (9th Cir. 2007) (“We have previously indicated
15 that evidence of ‘conservative treatment’ is sufficient to discount a claimant’s testimony
16 regarding severity of an impairment.” (citing Johnson v. Shalala, 60 F.3d 1428, 1434 (9th
17 Cir.1995))); Warre v.Comm’r, 439 F.3d 1001, 1006 (9th Cir. 2006) (“Impairments that can be
18 controlled effectively with medication are not disabling”).
19 4. Intermittent Treatment for Mental Impairments
20 The ALJ found that “the record reflects only intermittent treatment during the period at
21 issue” for mental symptoms. (AR 24.)
22 As the ALJ recognized, Plaintiff presented to the Community Mental Health Center for
23 psychiatric services in August 2018, but she “was noted to have not started recommended
24 treatment or medications prescribed in prior encounters.” (AR 22, 468.) Defendant highlights
25 the treatment notes recorded that Plaintiff had a “[h]istory o[f] non adherence to [treatment]:” she
26 had seen a provider a few months earlier, “but did not pick up her prescriptions or begin
27 recommended treatment,” (AR 468, 475-77 (May 2018 visit) and that she was prescribed
1 medications to which she previously had “a good response.” (AR 472.)7
2 The ALJ noted Plaintiff generally denied suicidal ideation (AR 24). Defendant highlights
3 though Plaintiff had reported some suicidal ideation in the 2018 time period, she said that it
4 “went away” despite not engaging in recommended treatment (AR 472), and otherwise denied
5 suicidal ideation (AR 322-23, 467, 476, 479). The ALJ correctly noted that Plaintiff “has not
6 required inpatient or emergency treatment for mental impairments” (AR 24, 321 (never
7 hospitalized), 473 (did not meet criteria for 5150 hold).)
8 Defendant submits that considering Plaintiff’s course of treatment alongside the mental
9 status examination findings for the relevant time period, the ALJ appropriately found that
10 Plaintiff’s testimony regarding disabling symptoms was not fully supported. Plaintiff has
11 submitted no direct reply to these arguments.
12 The Court finds the ALJ’s findings concerning intermittent treatment for mental
13 impairments is an additional clear and convincing reason provided by the ALJ for her evaluation
14 of the Plaintiff’s symptom testimony. 20 C.F.R. § 404.1529(a) (“[W]e will consider all of the
15 available evidence, including your medical history, the medical signs and laboratory findings,
16 and statements about how your symptoms affect you.”); Molina, 674 F.3d at1113-14 (“Although
17 Molina provided reasons for resisting treatment, there was no medical evidence that Molina’s
18 resistance was attributable to her mental impairment rather than her own personal preference,
19 and it was reasonable for the ALJ to conclude that the ‘level or frequency of treatment [was]
20 inconsistent with the level of complaints.’ ” (quoting SSR 96–7p)); Mazon v. Comm’r of Soc.
21 Sec., No. 1:22-CV-00198-SAB, 2022 WL 17978475, at *21 (E.D. Cal. Dec. 28, 2022) (“[T]he
22 Ninth Circuit has held that ‘unexplained, or inadequately explained, failure to seek treatment or
23 follow a prescribed course of treatment ... can cast doubt on the sincerity of the claimant’s
24 [subjective symptom] testimony.’ ” (quoting Fair, 885 F.2d at 603)).
25 / / /
26
7 Defendant further highlights that later visits were consistent with the ALJ’s findings as Plaintiff sought to re-start
27 care in March 2020, and the county Department of Behavior Health referred her to private services because here
symptoms were not severe. (AR 22, 467 (“we refer people with mild to moderate [symptoms] out to private
1 5. Activities of Daily Living
2 The ALJ also found that “the record reflects a relatively normal level of activities of daily
3 living, with the claimant continuing to provide childcare for her children and able to perform
4 common household chores such as cleaning.” (AR 24.)
5 The ALJ may consider the claimant’s daily activities in making a credibility
6 determination. See Diedrich v. Berryhill, 874 F.3d 634, 642-43 (9th Cir. 2017); Thomas, 278
7 F.3d at 958-59; 20 C.F.R. § 404.1529(c)(3)(i) (“Because symptoms sometimes suggest a greater
8 severity of impairment than can be shown by objective medical evidence alone, we will carefully
9 consider any other information you may submit about your symptoms . . . Factors relevant to
10 your symptoms, such as pain, which we will consider include: (i) Your daily activities.”).
11 However, “[o]ne does not need to be ‘utterly incapacitated’ in order to be disabled.” Vertigan,
12 260 F.3d at 1050 (citing Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989)). In fact, “many home
13 activities are not easily transferable to what may be the more grueling environment of the
14 workplace.” Fair, 885 F.2d at 603. Only if a claimant’s level of activities is inconsistent with
15 her claimed limitations would activities of daily living have any bearing on the claimant’s
16 credibility. Reddick, 157 F.3d 722.
17 There are two ways an ALJ may use daily activities for an adverse credibility finding.
18 Orn v. Astrue, 495 F.3d 625, 639 (9th Cir. 2007). First, daily activities can form the basis of an
19 adverse credibility determination if the claimant’s activity contradicts the claimant’s testimony.
20 Id. Second, “daily activities may be grounds for an adverse credibility finding ‘if a claimant is
21 able to spend a substantial part of his day engaged in pursuits involving the performance of
22 physical functions that are transferable to a work setting.’ ” Id. (quoting Fair v. Bowen, 885 F.2d
23 597, 603 (9th Cir. 1989)). The ALJ must make specific findings as to the daily activities and
24 their transferability to conclude that the claimant’s daily activities warrant an adverse credibility
25 determination. Orn, 495 F.3d at 639.
26 In reply, Plaintiff argues the ALJ simply summarized Plaintiff’s daily activities but did
27 not explain why those activities are inconsistent with Plaintiff’s alleged limitations, or any
1 Defendant argues substantial evidence supports the ALJ’s findings as immediately prior in the
2 decision, the ALJ discussed Dr. Michiel’s examination report, expressly noting “the claimant
3 endorsed a relatively wide range of activities of daily living, including providing childcare and
4 doing household chores.” (AR 24, 322.) Defendant also highlights that Plaintiff’s
5 questionnaires from visits with Dr. O’Laughlin reflect—with one exception in October 2019—
6 that her medications helped her to sufficiently take care of activities of daily living. (AR 294-95,
7 297, 299, 301, 303, 305, 307, 309, 369, 372, 376, 379, 383, 386, 390, 395, 399, 402, 405, 409,
8 411, 424, 426, 429, 433, 436, 440, 443.)
9 The Court finds sufficient support in the record to find the ALJ’s discussion of daily
10 activities was a clear and convincing for giving less weight to Plaintiff’s symptom testimony.
11 See Smartt, 53 F.4th at 499 (“The standard isn't whether our court is convinced, but instead
12 whether the ALJ's rationale is clear enough that it has the power to convince.”); Kaufmann, 32
13 F.4th at 851–52 (“Looking to the entire record, substantial evidence supports the ALJ's
14 conclusion that Claimant's testimony about the extent of her limitations conflicted with the
15 evidence of her daily activities, such as sewing, crocheting, and vacationing.”); Lopez v. Colvin,
16 No. 1:13-CV-00741-SKO, 2014 WL 3362250, at *16 (E.D. Cal. July 8, 2014) (“While the ALJ
17 did not explain that Plaintiff's daily activities were consistent with specific work activity, the
18 ALJ found Plaintiff's daily activities were inconsistent with the severity of symptoms he alleged .
19 . . [b]ecause Plaintiff's daily activities were inconsistent with the disabling symptoms he alleged,
20 the ALJ properly found such claims not credible.”).
21 V.
22 CONCLUSION AND ORDER
23 In conclusion, the Court rejects the Plaintiff’s challenges and finds no error warranting
24 remand of this action. The Court finds the ALJ reasonably declined to find the record supported
25 the full extent of Plaintiff’s subjective testimony, and provided clear and convincing reasons for
26 doing so, supported by substantial evidence in the record. The Court finds no error in the ALJ’s
27 omitting such allegations from the RFC. See Smartt, 53 F.4th at 499 (“The standard isn't
1 | the power to convince.”); Kaufmann, 32 F.4th at 851-52; Orn, 495 F.3d at 635; Lingenfelter,
2 | 504 F.3d at 1040; Thomas, 278 F.3d at 958.
3 Accordingly, IT IS HEREBY ORDERED that Plaintiff's motion for summary judgment
4 DENIED, Defendant’s cross-motion for summary judgment is GRANTED, and Plaintiffs
5 | appeal from the decision of the Commissioner of Social Security is DENIED. It is FURTHER
6 | ORDERED that judgment be entered in favor of Defendant Commissioner of Social Security
7 | and against Plaintiff Carla Roxanne Mazon. The Clerk of the Court is directed to CLOSE this
8 | action.
9
10 IT IS SO ORDERED. DAM Le
11 | Dated: _May 1, 2023 _
UNITED STATES MAGISTRATE JUDGE

13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10052404. Public record. Not legal advice.