Lynetta Marie Ward v. Carolyn W. Colvin
3:16-cv-05323
N.D. Cal.Nov 28, 2017Background
- Plaintiff Lynetta Ward applied for Supplemental Security Income (Title XVI) alleging disability from mental impairments (PTSD, depression, anxiety, and schizoaffective symptoms) with an onset date of December 31, 2011; SSA denied benefits and the ALJ affirmed; Appeals Council denied review; Ward sued.
- Medical record includes consultative exams (Dr. Gaasbeek: major depressive disorder with psychotic features; Dr. Phillips: hypertension, severe affective disorder), an extensive neuropsychological evaluation (Dr. Franklin: schizoaffective disorder, PTSD, severe executive-function deficits), treating clinic notes (Lifelong Medical: persistent hallucinations, depression, PTSD), and earlier stabilization records documenting psychosis.
- Non‑examining state agency reviewers (Drs. Luck, Morgan, Barrons) found affective disorder severe but generally concluded limitations were moderate and did not support disability; they downplayed visual hallucinations.
- At hearing, Ward testified to ongoing auditory and visual hallucinations, severe depression, limited daily functioning, and intermittent substance use; the VE testified that being unable to complete a normal workday or having marked reductions in attention would be work‑preclusive.
- The ALJ gave significant weight to Dr. Gaasbeek and the state agency reviewers, discounted Dr. Franklin and treating/Lifelong records, found severe impairments limited to major depressive disorder and polysubstance dependence (nonsevere: hypertension, ganglion cysts), assessed an RFC for medium, unskilled, low‑stress work, and concluded Ward could perform past relevant work as a fast‑food cashier.
- The District Court granted Ward’s summary judgment motion, concluding the ALJ erred in weighing medical opinions, step‑two severity findings, step‑three listing analysis, RFC formulation, and credibility assessment; the case was vacated and remanded for further proceedings.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| ALJ’s weighing of medical opinions | ALJ improperly discredited examining psychologist Dr. Franklin and treating Lifelong records and over-relied on non‑examining reviewers | ALJ permissibly weighed evidence and gave proper weight to consultative and state agency opinions | Court: ALJ erred; failed to provide specific, legitimate reasons to discount Dr. Franklin and treating records and improperly relied on non‑examining opinions inconsistent with record |
| Step Two severity findings | ALJ failed to find schizoaffective disorder, PTSD, and anxiety severe despite objective testing and treating notes | Any omission harmless because ALJ considered mental impairments in RFC | Court: Error — ALJ should have inquired into and considered severity of those diagnoses at step two |
| Step Three (Listings) | ALJ neglected listings 12.03 (psychotic) and 12.06 (anxiety) despite evidence of hallucinations, PTSD symptoms, and severe anxiety | ALJ considered mental impairments under appropriate listings (12.04, 12.09) and RFC evaluation covers deficits | Court: Error — failure to consider 12.03 and 12.06 was improper given record evidence |
| Credibility / RFC and VE hypotheticals | Ward’s testimony is supported by objective testing (Dr. Franklin) and VE said core limitations would be work‑preclusive; ALJ’s credibility reasons not clear and convincing | ALJ reasonably found inconsistencies and limited treatment; RFC and VE testimony support nondisability | Court: ALJ’s credibility reasons were not clear and convincing; RFC unsupported because it ignored or discounted relevant medical opinions and conditions |
Key Cases Cited
- Molina v. Astrue, 674 F.3d 1104 (9th Cir.) (defines "substantial evidence" standard in disability review)
- Orn v. Astrue, 495 F.3d 625 (9th Cir.) (opinions of examining physicians generally entitled to greater weight)
- Garrison v. Colvin, 759 F.3d 995 (9th Cir.) (ALJ must give specific, legitimate reasons when rejecting treating/examining opinions; describes credit‑as‑true framework)
- Lester v. Chater, 81 F.3d 821 (9th Cir.) (examining physician’s opinion cannot be rejected without specific and legitimate reasons)
- Morgan v. Comm’r, 169 F.3d 595 (9th Cir.) (treating physician rule and limits on non‑examining physicians’ opinions)
- Hill v. Astrue, 698 F.3d 1153 (9th Cir.) (vocational expert hypotheticals must include all limitations reflected in the RFC)
- Benecke v. Barnhart, 379 F.3d 587 (9th Cir.) (remand for further proceedings is standard when ALJ error found)
- Treichler v. Comm’r, 775 F.3d 1090 (9th Cir.) (district court should not automatically credit discredited evidence if record is ambiguous)
- Lingenfelter v. Astrue, 504 F.3d 1028 (9th Cir.) (two‑step test for evaluating claimant testimony about symptoms)
- Brown‑Hunter v. Colvin, 806 F.3d 487 (9th Cir.) (ALJ must specify which testimony is rejected and provide reasons)
