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Anne J. Holohan v. Larry G. Massanari, Acting Commissionerof Ssa
246 F.3d 1195
9th Cir.
2001
Check Treatment
Docket

*1 “Uniformity of de- of the Second Circuit. vitally impor- among the

cision circuits concerning on issues administra- tant tax laws. Thus the tax decisions tion of unless circuits should be followed other or there they demonstrably erroneous cogent rejecting reasons for them.” appear Comm’r, 1316, 1320 Unger v. 936 F.2d (D.C.Cir.1991) (quoting Keasler v. United (8th Cir.1985)). States, C. Conclusion reasons, foregoing the Tax

For Popovs’ denial of the home office Court’s deduction reversed. PART, IN AFFIRMED REVERSED PART, IN AND REMANDED. Costs on petitioners. appeal HOLOHAN, Anne Plaintiff- J.

Appellant,

v. Larry MASSANARI, Acting G. SSA,*

Commissioner of Defendant-Appellee.

No. 00-16090. Appeals, States United Court Ninth Circuit. Feb. Argued Submitted April Filed * Administration, R.App. Larry pursuant Fed. P. G. Massanari is substituted for Kenneth 43(c)(2). Apfel, Security S. Commissioner of the Social

Phyllis Matyi, California, A. Larkspur, for the plaintiff-appellant. Ogden,

David W. Attorney Assistant General, Mueller, III, Robert S. United Attorney, Walli, States Janice L. Chief Counsel, IX, Baird, Region Jeffrey H. As- Counsel, Regional sistant Security Social Administration, Francisco, California, San for the defendant-appellee. *5 FLETCHER,

Before: B. FERNANDEZ, PAEZ, Circuit Judges.
Opinion by Judge BETTY B. FLETCHER; Partial Concurrence and Partial by Judge Dissent FERNANDEZ. FLETCHER, BETTY B. Judge: Circuit Anne appeals from the district grant summary judgment court’s to ‍​​​​‌​‌‌‌‌​‌​‌​‌‌​‌‌‌​​‌‌‌‌‌‌‌​‌‌‌‌‌‌​​​​‌‌‌​​‌‌‍the Security denying Commissioner Social claim objecting her to the termination of benefits, disability Ti- awarded under II Security tle of the Social Act. We re- verse restore her benefits.

Background

On November Anne Holohan application Security filed an for Social dis- ability under II benefits Title of the Social (the Act, Security §§ 42 U.S.C. 401-433 Act). eligibility She claimed for the bene- disability depres- fits on the basis of due to sion, attacks, alcoholism, anxiety coordina- problems, memory problems, tion loss of physical strength, prob- and concentration 1; 1995, March lems. On Social Secu- (SSA) rity Administration found Holohan 404.1520(b). § found that Holo- by eligible defined the Act and disabled as gainfully employed. han In its notice was to receive benefits. Holohan, it explained the SSA disabled, Second, qualify in order as drug addiction alcohol- “found and/or impairment. have a claimant must severe contributing is a factor material ism 404.1520(c). § Id. The ALJ found if had not your disability. This means we no im- physical while Holohan had severe your drug addiction al- considered and/or im- pairment, she did have severe mental coholism, you we would not have found namely, dysthymia, and alcohol pairments, disabled.” in full abuse remission. by II Congress In amended Title Third, impairment if a claimant’s severe eliminating drug dependency and alcohol impairment meets or exceeds a listed disability findings. as bases for See Con- Appendix regulations to Part 404 of the tract America Advancement Act of With II, Title then this suffi- implementing 423(d)(2)(C). § § In U.S.C. finding cient for the claimant to be dis- mandate, implement' Congress’ order to 404.1520(d). abled. Id. The ALJ found per- termination notices to the SSA sent that Holohan’s mental did not receiving disability who had sons benefits meet or exceed the functional limitations drug been found to be disabled virtue of in the Ho- appendix. considering listed in- dependency. or alcohol The notice capacity, specif- lohan’s functional the ALJ recipients formed the their benefits ically found Holohan’s statement that her they

would terminate unless had another condition had began deteriorated since she disability finding. basis Holo- her treatment with Oh to lack credibil- requested han such a notice and received ity, that Dr. rec- stating Oh’s treatment *6 claim, asserting redetermination of her improvement. ords indicated meaning that she was disabled within the Fourth, impair- if a claimant’s severe Act, considering of the even without her qualify disability by ment does not as a The alcoholism. SSA reviеwed Holohan’s meeting exceeding virtue of or the require- qualify case and concluded that she did not Appendix of impairment ments then the benefits. Holohan filed a prevent doing past must the claimant from request hearing, for a which was held on Otherwise, relevant work. the claimant is 29,1997. July implementing regu- not disabled under the hearing, represent- At the Holohan was 404.1520(e). § Id. Giving lations. Holo- by law ed a student. Holohan testified doubt,” han “the benefit of all the ALJ to, that she was among unable to work due longer found that she could no her perform things, depression other and severe anxi- previous newspaper work as a advertising panic decision, In ety with attacks. his account executive.

issued on September the Admin- Finally, disabled, in order to be (ALJ) Judge istrative Law reviewed the impairment prevent claimant’s must history evidence of Holohan’s medical and doing any from In other work. determin- engaged step sequential then in the five ing impairment pre- whether a claimant’s process evaluating disability evaluation work, vents her doing from other one must § claims set forth at 20 C.F.R. 404.1520. consider the claimant’s “residual functional First, if a education, claimant is found to be cur- capacity,” age, past and work rently working 404.1520(f). and engaged § experience. Id. Consider- substantial. gainful employment, she ing is not disabled these relying factors and on the Com- Guidelines, under II regulations. the- Title Id. missioner’s Medical-Vocational

1201 treatment improving Holohan was with physical- “can that Holohan the ALJ found deteriorating levels than as she claimed. at all exertional rather ly perform work performing mentally capable jurisdiction The district court had under type work.” simple, repetitive least § 405(g) (providing 42 for district U.S.C. that Holohan was сoncluded ALJ therefore jurisdiction to review final decisions court meaning of the Act within the not disabled Security). of Social Commissioner the SSA’s determination upheld timely appeal. notice of Holohan filed to receive disabil- eligible was not jurisdiction have under 28 We therefore Title II. ity benefits under U.S.C. 1291. that Holohan reaching the conclusion listing Appen- did meet or exceed of Review Standard evaluation) (at of the step three dix We review de novo district functional had residual that she sufficient upholding the court’s decision Commission work simple, repetitive capacity perform Apfel, of benefits. Harman v. er’s denial (at five), rejected specifically the ALJ step (9th Cir.2000). F.3d We Oh, treat- opinions James Holohan’s if decision must affirm the Commissioner’s Hsieh, Holo- Wynne ing psychiatrist, by supported it is substantial evidence and that Holo- primаry provider, care han’s applied the correct if the Commissioner impairments prevent han’s mental severe legal Apfel, standards. Tackett v. working. “reject[ed] The ALJ her from Cir.1999). (9th Evidence can concerning of Dr. Holo- Oh” if it is more than a scintil be “substantial” he functional limitations because han’s la, though preponderance. less than a even “totally found it to be inconsistent notes and rec- Id. at 1098. If the evidence can own treatment [Dr. Oh’s] outcome, Hospital].” may ords at Francisco General we not substitute our [San either rejected He Dr. Hsieh’s because for that of the ALJ. Id. Howev judgment knowledge of she did not have first-hand er, we cannot affirm the Commissioner’s and limitations and “simply by isolating specific decision concluded, because, (in he it was contradicted Id. supporting evidence.” quantum recent evidence weight of thе most quotation marks and citation omit ternal *7 in the record. ted). Instead, the rec we must consider whole, “weighing a both evidence ord as the denied Appeals Council of SSA that detracts” supports and evidence review, making the request for conclusion. Id. from the Commissioner’s the final decision of the opinion ALJ’s (internal marks and citation quotation filed of the SSA. Holohan Commissioner omitted). in the of the decision for review ALJ’s The district court summari-

district court. of benefits. ly upheld the ALJ’s denial DISCUSSION to the ALJ’s treatment of regard With Opinion Evidence A. opinions, and Hsieh’s the district Drs. Oh regulations dis- implementing Title II’s specific, “gave held that the ALJ court opinions types the of three tinguish among reasons, based on substantial legitimate “(1) who treat the those physicians: of entitled evidence in the record” and so was (2) those (treating physicians); claimant physi- rejеct opinions the of Holohan’s to treat the claimant examine but do not who regard to the ALJ’s credibili- cians. With (3) those who (examining physicians); concurred that ty finding, the district court treat the claimant examine nor indicated that neither treatment records Oh’s (non- only opinion treating physician a file] who review the claimant’s of [but examining reviewing] physicians).” convincing” supported “clear and reasons [or (9th Chater, Lester v. 81 F.3d in the record. by substantial evidence 404.1527(d). Cir.1995); (9th Chater, § see 20 C.F.R. v. Reddick Generally, treating physician’s opinion Cir.1998) (internal marks and ci- quotation weight examining omitted). carries more than an treating physician’s tation If the physician’s, examining, physician’s and an opinion with other medical is inconsistent weight than a opinion carnes more re- record, in “[treat- substantial evidence the Lester, 81 viewing physician’s. F.3d opinions are still enti- ing source medical 404.1527(d). 830; ‍​​​​‌​‌‌‌‌​‌​‌​‌‌​‌‌‌​​‌‌‌‌‌‌‌​‌‌‌‌‌‌​​​​‌‌‌​​‌‌‍§ In addi- 20 C.F.R. weighted to deference and must be tled tion, weight regulations give more in using provided all the factors 20 CFR opinions explained that are than to those (“Ad- 96-2p; SSR see id. [§ ]404.1527.” not, are see C.F.R. judicators finding that a must remember 404.1527(d)(3), § opinions and to the treating medical opinion that a source specialists concerning relating matters ... with the other substantial inconsistent nonspecialists, that of specialty their over only in evidence the case record means 404.1527(d)(5). § see id. opinion is not entitled to ‘control- ling weight,’ opinion not that the should be cases, In phy benefits cases, rejected.... many treating typically provide types opin sicians two opinion source’s medical will be entitled to opinions speak ions: medical to the greatest weight and should be nature of a limita and extent claimant’s adoрted, even if it not meet the does test tions, opinions concerning the ultimate controlling weight.”).2 may An ALJ i.e., of disability, opinions issue about rely opinion on the medical of a non-treat- work, capable any whether a claimant is ing contrary doctor instead opinion given her or his limitations. Under the treating only of a doctor if she or he if regulations, treating physician’s medi provides “specific legitimate” reasons opinion cal is supported medically ac supported by substantial evidence ceptable diagnostic techniques and is not Lester, (internal record. 81 F.3d at 830. inconsistent with other substantial evi omitted). quotation marks and citation record, dence in the treating physi Similarly, may reject an treating given cian’s controlling weight. 404.1527(d)(2); physician’s § 20 C.F.R. see uncontradicted on the also Social (SSR)- Security Ruling disability only An ALJ ultimate issue of with “clear 96-2P.1 may reject convincing” uncontradicted medical supported by reasons sub- 404.1527(d) ió Security weight. 1. The Commissioner issues Social 20 C.F.R. describes Rulings clarify implementing reg- determining the Act's the factors the SSA considers agency’s policies. weight give ulations and the SSRs opinions. how much *8 to medical binding components circumstances, on all of the SSA. 20 treating phy- Under certain a 402.35(b)(1). § C.F.R. do have SSRs the opinion may sician's on some matter be enti- However, they repre- force of law. because any weight. might tled to if little This be the interpretation case, instance, sent the Commissioner's of the treating physician for if the agency’s regulations, give we them some def- long patient enough has not seen the "have to Sullivan, 341, erence. Bunnell v. 947 F.2d longitudinal picture” pa- obtained a of the (9th Cir.1991) (en banc). 346 n. 3 We will impairments, tient's 20 C.F.R. they not defer to SSRs if are 404.1527(d)(2)(f), inconsistеnt with opinion § offers on a an. regulations. the or statute Id. spe- matter not related to her or his area of § cialization, 404.1527(d)(5), see id. pres- and say treating physician's 2. This is not to that a no ents matter, for her or his on the § see id. every 404.1527(d)(3). necessarily medical entitled

1203 Reddick, poor concentration. She is to in the record. able evidence stantial Matthews v. Sha (quoting at .725 rudimentary daily 157 F.3d maintain activities of Cir.1993) (9th (inter 678, lala, 680 living. omitted)). If the marks quotation

nal letter, conjunction Dr. in with his Oh’s of opinion on the issue treating physician’s notes, treatment is evidence that Holohan controverted, disability is the ALJ must qualified step as disabled three of “specific legitimate” rea provide still inquiry. step five reject treating physi in sons order to qualify step In order to as disabled at opinion. cian’s Id. evaluation, three of a claimant must Dr. rejected opinions of The ALJ in impairments meet or exceed listed Oh, treating psychiatrist, arid Holohan’s 1 Appendix regulations. to Part 404 of the Hsieh, recently had taken over as Dr. who 404.1520(d). § 20 In order to meet C.F.R. in primary physician, care Holohan’s listing Appendix in for a mental disor- im- that Holohan’s reaching conclusion der, satisfy a claimant must criteria in listing not meet or exceed a pairment did A of the which paragraph listings, medical- (at1 evalua- Appendix step in three of the ly presence substantiate the of mental tion) residual func- and that she had the disorder, B paragraphs and the criteria in simple, in capacity engage repeti- tional (at five). C, Both doctors step tive work or which describe the functional limita- pre-

opined that Holohan’s tions associated with the disorder which ability to her sented serious obstacles incompatible аbility with the to work. Instead, relied on the work. the ALJ P, Subpt. App. 20 C.F.R. Pt. examining reviewing opinions of other diagnosed § 12.00A. Dr. Oh has that Ho- physicians and his determination major depression panic with disorder testimony was not credible. lohan’s agoraphobia. without She therefore satis- paragraph fies the A criteria for both af- Opinion 1. Dr. Oh’s anxiety fective disorders and related disor- In letter dated June Compare Subpt. ders. 20 C.F.R. Pt. that Holohan’s Oh stated P, App. (depressive syn- 12.04A.1. depressive superimposed by disorder drome) Diagnostic with and Statistical disorder, effectively prevent her panic (DSM-IV) Manual of Mental Disorders employment. pursuing gainful from (Michael 345, 349-52, ed., 4th B. First Specifically, experiences spells rev.2000) (criteria ed., major de- text leading cognitive terror panic arid disorder), and 20 C.F.R. Pt. pressive experiences anxiety, break-up. She also P, (pаnic §1 at- Subpt. App. 12.06A.3. on, all day grave symptoms off and tacks) 429, 430-32, 433-34 with DSM-PV inter depression, including feeling no (criteria without panic agora- disorder feeling and hav things, hopeless, est phobia). difficulty making With ing decisions. disabling cognitive and affective these satisfy the criteria order symptoms, compounded by the stressor B, A im paragraph paragraph residing physically with a and verbal “in must result at least two pairments markedly ly spouse, impair abusive following”: ability place to function in a work like *9 1. in the activities Marked restriction nearly years 20 before her she did daily living; or of disability.... current abili [Holohan’s] maintaining 2. in Marked difficulties ty concentrate on work related tasks to anxiety functioning; or markedly impaired due to her social is concentration, to impairments Holohan’s would cause her persis- of 3. Deficiencies in a complete to work-related tasks pace resulting frequent in fail tence or timely Finally, Dr. Oh states timely in a manner. complete failure to tasks (in spells of terror “experiences or else- that Holohan settings manner work where); up panic leading cognitive and to break or on, day anxiety, ... off and all [as as] well episodes 4. of deterioration Repeated in- symptoms depression, grave with in or work- decompensation or work things, no in feel- cluding feeling interest settings which cause the individ- like hopeless, having difficulty making ing from that situation ual to withdraw Dr. these decisions.” Oh concludes signs exacerbation of experience or “disabling symp- and affective cognitive (which may symptoms include (cid:127) markedly impair ... [Holohan’s] toms behaviors). adaptive deterioration of ability place.” in a to function work 404, P, Subpt. App. 1 20 C.F.R. Pt. B regulations explain that the fоurth crite- 12.04B; § § Dr. see also id. 12.06B. Oh’s repeated adapt rion “refers to failure to to provides weighty letter evidence opinion circumstances” common to the stressful impairments meet three of that Holohan’s They environment. Id. 12.00C.4. work First, B criteria. Dr. paragraph Oh identify making specifically decisions as circle is limit- states Holohan’s “social common to work situations. Id. Dr. stress meetings, ed to her AA otherwise she re- is, therefore, opinion Oh’s evidence that significantly socially mains isolated.” The B Holohan satisfies the fourth criterion.4 im- regulations examples include as paired functioning provides social social isolation Dr. Oh’s thus evi as interpersonal qualifies and the avoidance of rela- dence that Holohan disabled P, tionships. Subpt. impairments Pt. she meets the listed See C.F.R. because rejected §1 Dr. in App. Appendix 12.00C.2. Oh’s statemеnt 1. The ALJ Dr. Oh’s markedly evidence that Holohan has diffi- that Holohan “is im “[m]arked maintaining functioning.”3 paired respect any in performance culties social to Second, activity anxiety/panic states that Holohan’s “abil- work due to attacks Oh to on ity poor concentrate work related tasks is concentration” because he found markedly impaired anxiety “totally [Dr. Oh’s] due to her and it to be inconsistent with poor concentration.” This is evidence that own treatment notes and records at [San tion, regulations, explained pan- 3. As used in the "marked” she that she would suffer moderate, "means more than but less than ic attacks when she studied and when she had P, Subpt. App. extreme.” 20 C.F.R. Pt. "quiet keeping time.” This is in with Dr. "significantly” § 12.00C. Dr. Oh’s use of in notes, report which Oh's treatment that Holo- isolation, describing Holohan’s when social prone panic han is more tо have attacks when considered with his observation that "Holo- panic is inactive. she When she had attacks han's social AA circle is limited meet- testified, reading, while she was ings” describes social isolation that is more go “afraid to back to the book because I'll than moderate. panic.” testimony evi- reactivate that This dence that Holohan’s result addition, testimony provides 4. concentrate, inability resulting an in failure impairments satisfy evidence that her manner, complete timely tasks in a paragraph third' B and fourth criteria. Holo- settings, evidence that work-like that, hearing han testified at the time of the (i.e., "decompensates” experiences an exacer- ALJ, talcing City before the was class symptoms, Pt. bation see C.F.R. College. She further testified that she had P, 12.00C.4.), Subpt. App. §1 and withdraws anti-anxiety immediately take her medication not find this panic from the stressor. The did before class so that she wouldn't have a during period. testimony credibility. attack the one hour In addi- to lack *10 See, in Hospital].” workplace.6 e.g., Francisco The ALJ tion Kellough General v. Heckler, (4th Cir.1986) that Dr. Oh’s treatment notes “indi- stated Ativan, panic attacks with (“ cate control ‘Feels well’ and ‘normal activity’ must be great improvement in [Holohan’s] context; read in the claimant has estab- Dr. in fact noted that [Holo- condition. Oh lished that she suffered a severe cardiac attack increased with panic problem han’s] impairment in 1975. A note entered in inactivity, happy and that she was when 1975,just November one month before she joined the YMCA.” hospitalized open was for heart surgery, argues that the ALJ committed also stated that Kellough she ‘feels well.’ in Dr. legal rejecting opinion error Oh’s testified without contradiction her concerning scope of her limitations. activity’ ‘normal following surgery was argument Her has merit. As Holohan limited.”). very out, the is selective in points ALJ his The specific rejecting ALJ’s reason for notes, exag- reliance on Dr. Oh’s treatment Dr. opinion Oh’s was that it conflicted with contents, in gerates description his of their Dr. Although Oh’s treatment notes. such and misattributes statements to Dr. Oh. justify conflict could a decision not to Although hopeful he makes comments give the treating physician’s opinion con- classes, Dr. attending about Holohan’s Oh trolling weight, see C.F.R. symptoms also lists as Holohan’s “demo- 404.1527(c)(2),(d)(2), (d)(4), §§ in this case ralization, feeling trapp[ed] anxiety ... there is not in substantial evidence ... Dr. depressed mood.” Oh never de- gave record to the reason the ALJ in “great improvement scribes [Holo- rejecting Dr. opinion. Oh’s When read conditiоn” as the suggests. han’s] context, ‍​​​​‌​‌‌‌‌​‌​‌​‌‌​‌‌‌​​‌‌‌‌‌‌‌​‌‌‌‌‌‌​​​​‌‌‌​​‌‌‍in full Dr. Oh’s treatment he state on While does November better,” “doing explains opinion he notes are consistent with his letter. “(less [unintelligible] pan- means this sup- Because substantial evidence does not better’) ics—‘15% when [up- but inactive port specific gave reason the ALJ sign, panic.” in] ward arrow read: increase Dr. rejecting concerning Oh’s Finally, that Dr. the ALJ states Oh de- disability, question of Holohan’s we con- “infrequent having scribed Holohan as in rejecting clude that the ALJ erred Dr. However, panic attacks.” it was not Dr. opinion. Oh’s physician but other Oh some San Fran- Hospital cisco General who so character- Opinions 2. Medical Other ized Holohan’s attacks.5 Examining Physicians a. Dr. Oh’s statements must be read in five reports The record reflects the diagnostic picture context of the overall he examining repоrts of two physicians. a person draws. That who suffers from examining physicians, of the those of Drs. attacks, panic anxiety, depres- severe Solon, support Johnson and Holohan’s improvement sion makes some does not report, claim. In a December person’s impairments mean that no longer seriously ability diagnosed affect her to func- Holohan with moderate Johnson reason, reject government’s 5. The district court also 6. this we misattributed this For argument that Dr. Oh’s is contradict- quotation physician, to Dr. Oh. The other by ed Dr. Kristen Shaeffer’s notation signature unintelligible, appears whose panic by were “alleviated” attacks only have seen Holohan three times over the physician Avitan and a another statement many-year period at issue this case. occasionally who treated Holohan that Holo- "feeling "slеeping well.” han was well” and *11 re- depressed. and He “mildly” anxious He stated that Holo- depression. clinical major history no unclear, it that he found ported but prognosis han’s was and that functioning psychotic episode her or imagine depression was “difficult any competitive might be able to effectively in sustained that Holohan he believed However, present in her condi- employment setting Dr. simple work. perform some 1995, 6, February Dr. report In a psychi- tion.” statement about Holohan’s Flach’s with recurrent diagnosed Holohan only Solon history flatly contradicted atric and concluded depression, chronic notation that by by the record but his own difficulty main- have considerable “would history psychi- a reported had Holohan and taining the sustained concentration anxiety, and depression atric services for necessary mаintain a normal persistence psychia- a including weekly visits to twice did, however, pre- Dr. workweek.” Solon 1993, prescrip- 1990 and and trist between psychiatric appropriate that “with dict Moreover, antidepressants. Dr. tions for treatment, likely will remit symptoms her that, impair- only Flach states year.”7 within six months to a ments, “may” perform be able simple if not detailed tasks.8 examining physi- at least some remaining three Of the cians, only physi- on the two concentrated Reviewing Physicians b. impair- of Holohan’s cal manifestations 1996, July report ments. In a dated reports contains the The record also (whose signature unintelligi- physician reviewing physicians, those of Drs. three ble) disturbance, gait but notes a moderate Hansell, Burdan, Bur- and Hsieh. Doctors question to a on the form respond does not simply boxes on dan and Hansell checked psychiatriс impair- concerning evidence of sup- reports gave significant form no Similarly, report August in a dated ment. for their conclusions. porting explanation 24, 1996, Katzenberg, neurologist, Dr. report, August Dr. Hanseh’s dated that Holohan from no ob- found suffered 1996, simply conclusorily states that Holo- jective sensory deficit which would motion impairments. In con- han has no severe working. from He acknowl- prevent her trast, 23, 1995, February in report dated edged depression that Holohan had im- severely Burdan found Holohan Dr. Ho- anxiety, but did not consider whether he that he did not paired, but indicated in- psychiatric impairments lohan’s would enough have information to determine ability to These terfere with her work. met two of the four cate- whether Holohan light no on whether Holo- reports shed Appendix B l.9 Dr. Bur- gory criteria mental do or do not han’s is, therefore, neutral оn the report dan’s render her disabled. question qualified of whether Holohan as Flach, step step Finally, July Dr. disabled at three of five on being as psychologist, diagnosed inquiry. optimistic syndrome, prognosis 7. Dr. was not and a substance abuse disorder. Solon’s out, satisfy para- by and Shaef- is sufficient to three of the borne as is shown Drs. Oh This notes, graph Appendix fer’s treatment as well as Dr. Oh’s 1997 A criteria in 1. See 20 C.F.R. P, 12.02, 12.04, Subpt. App. §§ letter. Pt. regard paragraph 12.09. With to the B crite- ria, opin- report only

8. The AU mischaracterized Dr. Flach's Dr. Burdan’s indicates moder- “may” perform paragraph changing ion to “could” the four B ate limitation two of B2, (B1 simple categories supra), marked if not deLailedtasks. see (B3, supra), in one see and insuffi- limitation a determination in the 9. Dr. Burdan found that Holohan suffered cient evidence make disorder, (B4, depressive remaining category suрra). organic see from an mental Hansell, clearly the record does not contraindicate Drs. Burdan Unlike *12 opin- activity.” her of work explaining performance a letter Hsieh wrote At the time she concerning ions Holohan. that We conclude the ALJ’s behalf, Dr. had on Holohan’s wrote Hsieh specific rejecting reason for Dr. Hsieh’s pri- recently taken over as Holohan’s just not opinion supported by medical sub explained that mary physician. care She concluding stantial evidence. In that the Holohan’s case from had taken over she most recent medical evidence indicates Shaeffer, with whom Holohan Dr. Kristen improving, that Holohan was the se ALJ Based “long, relationship.”10 had a close lectively on in relied some entries Holo file, in a on a review of Holohan’s letter han’s records from San General Francisco. 1997, 9, July Dr. Hsieh stated that dated Hospital ignored many and others that her continued, impairment.11 indicated severe

impression is that Mrs. Holohan has addition, the ALJ relied on the medical had, have, illness of and continues opinions examining physi and reviewing severity. being In addition to great (besides Hsieh) cians that of Dr. to the abuse, Mrs. Holohan victim of domestic opinion exclusion of Dr. Oh’s more recent in- depression, has that include diseases impairments quite Holohan’s se somnia, anxiety and severe disorder only vere. medical in the opinions The described as panic attacks were record that conflict with Dr. Oh’s are those in “quite debilitating” by psychologist Flach, Dr. that Holohan had who stated implication The from all re- 7/96.... only anxiety depression, “mild” and ports is that Mrs. Holohan continues Hansell, conclusorily Dr. indicated who psychiаtric suffer from severe disease impairments. that Holohan had no severe hinder her from maintain- which would However, opinions examining these an—of ing job. only Holohan physician who examined merely rejected opinion reviewing physician Dr. be- once and a who The ALJ Hsieh’s [sic, giving supporting checked without cause “Dr. Hsieh admitted he boxes outweigh knowledge explanations hand insufficient she] did not have first —are treating of a who opinion physician and limitations” [Holohan’s] period Holohan over a of time weight and because “the of the most re- cared for an improve- provided supported of record indicates and who cent evidence panic explanation in and treatment records. See ment her mental condition (3). attacks, 404.1527(d)(2), §§ When Dr. separated when from C.F.R. particularly environment, given apрropriate consider- unfortunate marital and Oh’s "anxious, tearful"); id. (April Dr. treated Holohan for over two Hólohan was 10. Shaeffer regularly. 24, years 1996) (same; and saw her We note that noting "continues opin although write an Dr. Shaeffer did not attacks”). panic , on the record ion letter behalf of Holohan Although does contain her treatment notes. entries, specifically two 11. The ALJ mentions passing, the ALJ does he mentions them in dated one dated December the other appear not to have considered Dr. Shaeffer's 6, 1997, by physician February one which notes, im which do not indicate measurable depression and anxi- indicate that Holohan’s during provement in condition ety well.” This are stable and that she "feels case, period at issue in this see Kristen Shaef- physician appears to have treated Holohan fer, (April Anne Trеatment Note for contrast, By only a times. the ALJ does few 3, disorder); 1997) (indicating anxiety severe many indicate not mention the entries that 1997) (June 26, id. (indicating anxiety severe See, continued, 19, psychiatric problems. id. dated June severe panic); disorder with 28, (same; 1996) id. (same); noting e.g., supra (May note 10. -way had been in a half house ation, weight that “the it cannot be said alcoholics in that she saw recovering record indi- the most recent evidence of in that she had been psychiatrist her mental condition a improvement cates Therefore, seeing. regularly there was between panic attacks.” Shaeffer support began going evidence to and that she substantial Dr. Hsieh’s rejecting ALJ’s reason stress clinic sometime 1995. opinion. offers for his only other credibility finding is his statement *13 Credibility Determination B. improvement general “record in indicates rеsponsible However, an ALJ is January general While 1996.” since credibility determining the of a claim sup- for findings are an insufficient basis ant, reject a claimant’s credibility an ALJ cannot determination. port an adverse Reddick, giving clear and con testimony (citing without at 722 Les- See Reddick, 834). 722. vincing ter, reasons. 157 F.3d at 81 F.3d at addition, specifically the must In ALJ finding credibility Because the ALJ’s not identify testimony she or he finds the evidence, supported by substantial we what evi explain to be credible and must credibility deter- conclude that the ALJ’s testimony. undermines the Id. The dence mination was erroneous. upon which the ALJ relies must evidence 724. be substantial. See id. at Holohan the C. Use of “Grids” negative credibility that argues the ALJ’s that, government argues The by the he finding supported is not evidence disability step five of Holohan’s determi cites. She is correct. nation, rely the ALJ was correct tо on the (the Guidelines Medical-Vocational The ALJ found that Holohan’s “grids”) to determine whether there was testimony symptoms gotten that her had despite perform work that Holohan could began worse since she treatment with Dr. grids accurately If the impairments. her credibility. specifically Oh lacked He im completely describe claimant’s identified Dr. Oh’s treatment records as pairments, may apply grids an ALJ the that evidence conflicted with Holohan’s taking testimony instead of from a voca above, However, testimony. as we discuss Reddick, expert. tional 157 F.3d at 729. selectively quoted the ALJ from Oh’s not, they If do the also then ALJ must treatment records and misattributed state testimony expert. hear from a vocational ‍​​​​‌​‌‌‌‌​‌​‌​‌‌​‌‌‌​​‌‌‌‌‌‌‌​‌‌‌‌‌‌​​​​‌‌‌​​‌‌‍him. provides ments to This evidence no grids only strength are on Id. The based support credibility finding. the ALJ’s Id. n. 11 Pt. (citing factors. & C.F.R. addition, In asserts that Holohаn ALJ 200.00(e)). P, §2 Subpt. App. Thus “apparently sought little mental health or they only a claimant are sufficient when receipt other medical treatment until after only exertional suffers from limitations. disability of her [in notice termination of Id.; P, Subpt. App. see 20 C.F.R. Pt. specific The ALJ cites no evidence 1996].” (e). 200.00(b), §§ claim, but, case, The functional limita any this by anxiety, con depression, tions caused claim is belied the record. There is centration, memory impairments evidence in that Holohan had are the record psychiatrist weekly seen a twice from 1990 nonexertional limitations. 20 C.F.R. 404.1569a(c)(i)-(iii).12 depression anxiety, to 1993 for that These are concluding properly impairments 12. that relied of the sort Holohan suffers are grids, ignored on the the district court nonexertional limitations. regulations' psychiatric clear statement that impairments plained at issue in that the SSA found drug Holohan’s soils Indeed, ALJ found that “contributing and alcohol addictions case. fac- impairments and physical had no severe disability. material her tor^] This to”. were only her meant, that severe explained, the SSA notice that if By relying entirely on the psychiatric. had not SSA considered Holohoan’s that there was work grids determine alcoholism, drug addiction and it would not capable performing was her eligible have found bene- limitations, the ALJ committed fits. The notice also informed Holohan legal clear error. had the right appeal she the SSA’s “disagree[d] if determination with this D. Procedural Due Process Claims drug decision that addiction alcohol- and/or Court has Supreme held your disability.” ism contributes to Holo- security disability for social ben applicants correctly han notes that determination process to due in the efits entitled drug addiction and alcoholism “con- *14 of claims. Rich determination their See to a disability impor- tributes” claimant’s is Perales, 389, 398, v. U.S. 401- ardson 402 tantly a different from determination that (1971). 02, 1420, L.Ed.2d 842 91 S.Ct. 28 they “contributing factors material to” recognize principle governing as We this case, a disability. claimant’s In the former adjudications of social secu administrative latter, the may not in a claimant but be Gonzalez v. rity benefit claims. See Sulli notwithstanding her or his disabled alco- (9th Cir.1990) van, 1197, 914 1203 F.2d drug holism or abuse. (“An applicant security for social benefits two arguments Holohan makes benefits.”). in those property has a interest 1, concerning the March 1995 notice. has that Supreme Court also held First, she claims that because the notice terminating a re procedures person’s for inform her appeal did not that she could security of ceipt disability social benefits the decision if believed SSA’s she that her satisfy pro requirements must the of due “contributing was not a factor alcoholism Eldridge, See Mathews v. 424 U.S. cess. disability, material to” her the notice vio 893, 319, 332, 96 L.Ed.2d 18 S.Ct. 47 right procedural process. to due lated her (1976). is a or process What due claimant Second, argues that the notice violated disability of recipient depends benefits process rights it failed to due because weighing three factors: upon that if to appeal warn her she failed First, be private interest that will finding, materiality SSA’s. her benefits action; second, affected the official subject if Con would be termination deprivation of the risk of an erroneous gress later removed alcoholism as basis through procedures interest such disability for awards. benefit used, value, any, if probable and the procedural additional or substitute safe- stand We conclude Holohan lacks finally, guards; Government’s claim, ing process the first due to assert interest, the function including involved injury that allege any for she fails to re bur- and the fiscal and administrative discrepancy sulted from the between the or dens the additional substitute materiality finding SSA’s notice its procedural requirement would entail. right has a its notice Matheius, 335, U.S. 96 S.Ct. 893. that her appeal the SSA’s determination disability. to her “contributes” alcoholism informing

The March 1995 notice Ho- Mathews, v. See Heckler 465 U.S. eligible that the had found her lohan SSA (“In (1984) disability ex- 104 79 L.Ed.2d Security benefits S.Ct. Social eligibili- forecast which current leaves and standing purposes to establish order someday Congress may revoke. controversy’ ty re- criteria ‘case or the constitutional must show that he plaintiff quirement, reasons, we hold that For these actual or has suffered some personаlly did not violate Holo- March 1995 notice puta- of the injury as result threatened process. due right procedural han’s defendant, ... illegal conduct of the tively ted)).13 ternal dressed quotation by a favorable decision injury marks and citations likely to be re- .... ” (in- omit- to remand for further error. We must The ALJ [*] decide, however, whether committed reversible [*] proceedings [*] and ad an of bene evidence or for award Holohan’s second ditional regard With factors, whether to remand for claim, we fits. The decision the Mathews applying or for an award of proceedings to inform further that the failure conclude SSA’s Reddick, our discretion. notice that her benefits is within eligibility in its repeatedly held materiality F.3d at 728. We have appeal failure to SSA’s proceedings further subject to ter that a remand for finding would her benefits unnecessary fully if the record is devel Congress if later eliminated alco mination from, the recоrd that oped and it is clear as a basis for benefit holism required would to award bene right to the ALJ be awards did not violate Holohan’s id.; Shalala, See, e.g., that a Ghokassian v. process. disputing There is no fits. due *15 (9th 1300, Cir.1994); Pitzer v. in 41 F.3d 1303 disability recipient’s benefits interest (9th Sullivan, 502, Cir.1990); 506 receipt of her or his benefits is continued HHS, Mathews, 342, F.2d Varney Secretary 424 96 v. 859 great. See U.S. at of (9th Cir.1988). 1396, However, adopted implementing in the 1399 We S.Ct. 893. im “recognized we the to exclude alcohol this rule because congressional mandate expediting disability of claims.” portance as bases for drug ism abuse Ghokassian, Indeed, awards, 41 F.3d at 1303. benefits the Commissioner has of cases in which it is evident from the record steps taken to minimize the risk errone awarded, remand by sending termination no that benefits should be deprivation ous proceedings for further would need recipients by ing tices to affected аfford delay pur lessly effectuating primary the the ing right them a to contest termination Act, pose Security give the “to hearing they of their benefits at a at which of Social persons to be may that.they are disabled financial assistance disabled demonstrate they ability are the to sus apart any drug from alcoholism or cause without even (cid:127) Chater, Moreover, v. 68 the notice tain themselves.” Gamble addiction. additional (9th Cir.1995) (internal quo unworkable. It would F.3d proposes Holohan is omitted). and citation require the to read tea tation marks Commissioner (1994) (codi- 201(a), § fact the March 1995 notice 108 Slat. 13. The eligible disability, benefits found Holohan of 42 U.S.C. fied in scattered subsections preclude alleging 405) would not in itself from (imposing, among things, treat- other Indepen- injury Security in fact. The Social requirements, payment a of benefits to ment Program Improvements Act ‍​​​​‌​‌‌‌‌​‌​‌​‌‌​‌‌‌​​‌‌‌‌‌‌‌​‌‌‌‌‌‌​​​​‌‌‌​​‌‌‍of dence and payee, thirty-six representative and a month imposed many receipt on the limitations However, benefits). receipt of limit on the eligible by persons in cases of benefits found argue not that the restrictions does drug in which alcoholism or addiction was imposed upon materi- her based on SSA's contributing factor material to the individu- ality finding injury. caused her disability. Pub.L. No. 103-296 al’s See case, fact, As is deference and common with triers of proper In this when of given majority opinion every is to the weight marshals bit of evi- treating psychiatrist when Holohan’s its support dence would decision that properly benefits, evidence is consid- testimonial Holohan should get and deni- ered, qualifies that Holohan we conclude opinions grates doctors who do step step three the five as disabled agree not For example, with that. properly con- process. evaluation When accepted, Hsieh’s though sidered, the indicates that a evidence also very never wrote little and had seen Holo- of not would not determination disabled be han, while physicians other are dismissed evidence. supported substantial they wrong, with comment that are or conclusory, or the boxes. checked None of

Conclusion regularly that is unusual. engage We Because the does not contain record complex rummage through locutions as we evidence that would substantial reweigh piece records and each of evi- disabled, finding that Holohan is and dence, with no real deference whatsoever the record contain evidence because does those to who work with and decide social supports finding meets security disаbility on a day-to-day cases Appendix 1 we remand listings, this That approach basis. enables us to cast with case the district court instructions brume over the fact that we actually for an award to remand the ALJ However, retrying cases. it is thing one benefits. error; it quite find another to decide fact, expert that the trier of agency, Reversed and Remanded with Instruc- and the district have perceptions court tions. the record so inferior ours that benefits FERNANDEZ, Judge, Circuit must be ordered with no further ado. Concurring Dissenting: needy Holohan does to be a per- seem intertwined and buried in an While son, perform and I that she could doubt *16 rules, discussion regula intricate of the economy. jobs my the national Were tions, rulings, this case is still another ALJ, impressions test, were I an I example that of this court’s insistence it be not, They so and I am would find. not. ultimate trier social seсurity of fact Thus, while there were errors the ad- Thus, ALJ, although cases. level, agree ministrative I cannot that we fact, Appeals is the true trier of who upon should take it ourselves to order an judge and the court Council district were most, I award of benefits. At would re- disabled, all is not satisfied proceedings. turn this case for further alcoholism,1 except, perhaps, for we decide Therefore, agree that while I some er- none of them understood the law or committed, I rors were dissent from the evidence, and, therefore, only not re direction that be awarded at benefits this payment but also direct of bene verse time. I agree fits. While ALJ did not touch all bases in properly deciding of the case, I do that we agree

this should all reweigh grant of the ben evidence efits. Originally, the ALJ determined that did not affect her.

1. had held alcoholism alcoholism hand, contributing any material to On the other the ALJ found that she was factor dis- ability, proceeding but in the at hand the was not disabled at all.

Case Details

Case Name: Anne J. Holohan v. Larry G. Massanari, Acting Commissionerof Ssa
Court Name: Court of Appeals for the Ninth Circuit
Date Published: Apr 17, 2001
Citation: 246 F.3d 1195
Docket Number: 00-16090
Court Abbreviation: 9th Cir.
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