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Laurie Wellington v. Nancy Berryhill
878 F.3d 867
9th Cir.
2017
Check Treatment
Docket

*1 times”). police nine See also Seidel v. Mer

kle, 1998) 146 F.3d 756-57 Clr.

(finding prejudice where failed to counsel

investigate his client’s health for a

possible imperfect theory -self-defense petitioner

where had been convicted of

knifing struggle). someone That entirely

context is absent here.

Finally, capacity, while diminished

аvailable, could serve aas defense even to significant premedita-

crimes involved

tion, Daniels, 1207-08, see 428 F.3d at no juror

reasonable would have discounted disturbing plausible

Hernandez’s ex-

planation of of mind raped as he his'state Ryan.

and murdered Bristol and The men-

tal health neurological pre-

sented explain collateral review cannot

away this such awareness rational

juror would Hernandez to have found lack required specific rape intent kill Ryan.

Bristol and

¾* n n

I respectfully from II of dissent Part

majority opinion deny would the habe- petition. WELLINGTON, L.

Laurie

Plaintiff-Appellant,

Nancy BERRYHILL, Acting A. Security,

Commissioner Social

Defendant-Appellee.

No. 16-15188 Appeals, Court of

United States

Ninth Circuit.

Argued September and Submitted Francisco, San California

Filed *3 Rohlfing D. (argued),

Lawrence Santa California, Springs, Fe for Plaintiff-Appel- lant. (argued)

Elizabeth Firer and Marcelo Illarmo, Special Assistant United States Stachel, Attorney; Regional Deborah Lee Counsel, IX; Regiоn Phillip Chief A. Tal- bert, Acting Attorney; United States Social Administration, Francisco, Security San California; for Defendant-Appellee. Before: RONALD M. GOULD and WATFORD, PAUL Judges, J. Circuit and SANDS,* Judge. W. LOUIS District by Judge Dissent Watford OPINION GOULD, Judge: Circuit Wellington appeals from the dis- Laurie affirming trict court’s order the Social Se- curity Administration ‍‌‌‌‌​​‌‌‌‌​​‌‌‌​​​​‌‌‌​‌‌‌‌​‌‌​​‌​‌‌‌‌‌​​‌‌​‌​‌‌‍Commissioner’s de- application Security nial of her for Social Disability partial benefits and Insurance application Supplemental of her for denial Security Income bеnefits. Administra- Judge Wellington tive Law concluded was not until after disabled both period which she was insured SSDI benefits and the date which appeal, On applied she for SSI benefits. * Sands, gia, sitting by designation. The Honorable W. Louis United States Judge District for the Middle District of Geor- 2008, however, Wellington

Wellington contends that ALJ erred and was repeatedly took medical leave by not job when store department fired help onset date from hearing to determine In the month did not return work. rеject this conten- she of her disabilities We fired, Wellington went before she was affirm. tion we times, eight emergency room for a three- one occasion admitted herself I appeared anxious day inpatient stay. She experienced psychological anxiety-related symptoms complained child, As a throughout her life. she trauma visits, the other visits in half of these while chronic sexual abuse shielded suffered migraine vertigo, treatment involved vio- siblings from domestic younger headaches, pain. or abdominal *4 adult, regu- she was home. lence at As an job, losing month after Well- In the her ex-boyfriend over larly beaten an emergency room to the ington went back emotionally eight years, of was course times, complaining again exhibiting four during their by her ex-husband abused of anxiety in half visits while these relationship, and was twelve-year stalked vertigo, treatment—for seeking unrelated after their by this divorce. ex-husband ears, and numbness—in ringing her arm in diagnosed post- Wellington with has been emergency gave An Well- the rest. doctor unspeci- disorder and traumatic stress manage for ington prescription Xanax anxiety disorder. fied to the anxiety, her and did not return she physical has several ailments Wellington next month ER for a afterward. from chronic suffers primarily as well. She anxiety now” she was “better visit said'her diagnosed with pain, she was muscle and vomiting. for treated acute and she was has a histo- in 2009. She also fibromyаlgia request- Wellington returned a week later pain, chest and some -pain and back ry appearing anxious. ing more Xanax and conditions. less serious three ran of medication wééks out She emergen- again back later and went physical and Despite psychological her room, prescribed a where was dif- cy she was able lead a impairments, Wellington drug. ferent many years. She life for productive 2009, 16, to a apparently Wellington On March went high sсhool and out dropped for first time on 20s, center in but she obtained health her did not work Klonopin pre- given a two-month completed then and was age at 32. GED She her Subsequent medical scription. in médical as- college program nine-month anxiety of her dis- nursing routine treatment show sisting and worked as certified Wellington a one-month until she hurt her order. received years for three assistant Klonopin May, prescrip- in but the injury is not refill of clear The extent of’this back. rеcord, appointment not at her Wellington stayed out tion was renewed from the but 2005, requested following Wellington month. years. In work force for six one-month refill another as a cashier at a and received she returned to work again Was store, July. prescription' for But the she worked where convenience following Wellington month. Wellington kept this years. half renewed two and a stressors and of increased life complained 50-hour job until she work was so weeks, аnxiety September, she received pain. her back aggravated which was increased stronger prescription that depart- at a part-time then worked She prescription in October. The once more eight ment months. store

.871 Welling- December slippers, was decreased and she eye would not make con- complaints anxiety, December, ton had no it and tact. In Wellington reported 2010, January was renewed the last that “everything got worse” after her fa- record from this office. These treatment ther month, 2011, died. next January Wellington notes indicate that like “doesn’t therapist Wellington’s observed that medication,” taking though recognized she depression was only getting worse prescriptions “help that her did with that anxiety her heights. had reached new pain anxiety.” and the Wellington filed for SSDI and SSI bene-

Wellington specialist first saw her 24, 2009, fits on alleging a dis- 26, mental health May troubles on 2010. onset date of December ability Dr. Cushman Wellington described as Her last date insured for De- SSDI was anxious, moderately but he that she noted cember 20Ó8.Wellington’s were claims last took Klonopin ago a leftover a month denied, initially appeal but after an helpful and that does it in man- “[s]he find remand, voluntary an ALJ issued a partial- aging anxiety.” He concluded ly favorable decision. The found reg- “have will difficulties with Wellington’s disability partic- ular attendance consistent making ineligible for SSDI ipation time, comрlaints of eligible for from that daté SSI for- pain, anxiety Still, Dr. and malaise.” Cush- Wellington’s ward. The ALJ determined *5 assigned Wellington a Assess- Global man disability onset date without a med- (“GAF”) of Functioning ment score expert hearing. ical He reasoned indicating Wellington that he believed had beginning that medical only psychological moderate symptoms.1 Dr. psychological date—with Cushman’s Wellington Dr. Cushman also noted that Wellington examination—showed be- benefit from counseling. would complеte came unable to a normal work- day up quarter to days pain seven due to Wellington took a for the turn worse anxiety. The and district court affirmed over the began next several months. She decision, Wellington ap- the ALJ’s and seeing June, therapist July and she peals. reported having panic that she was more trying attacks because her ex-husband was II

to contact August, her. In Wellington was de novo We review counseling tearful most of her ses- district sion, affirming ordеr and she Commissioner’s being emotionally described court’s Astrue, Berry denial of benefits. overwhelmed because her had father de- cancer, other, F.3d We veloped family terminal will affirm the decision not-getting along, members were Commissioner’s unless she and by it recently supported is put dog Welling- had to evidence her down. substantial Id.. legal or is on a ton was to Klonopin advised based restart and error. given prescription. a new father Her III passed away following month. At her counseling appointment, appeal, Wellington next On that the contends robe, up in pajamas, hospital finding showed by and erred that her Security 1. The acceptable Social has said come from medical source.” Administration an GAF scores be "should considered as § Sec. Soc. Claims 2:15 n.40 Disab. Handbook opinion medical evidence REV), 20 C.F.R. under (citing AM-13066 404.1527(a)(2) 416.927(a)(2) they §§ if primary element by Dr. serves as evidence day was examined began the she ... onset Security determination. argues that Social Cushman. She to (“SSR”) impairments, the ALJ slowly progressive Ruling 82-30 With hearing to impossible to obtain at the it is sometimes call a medical advisor establishing pre- disability onset date. ‍‌‌‌‌​​‌‌‌‌​​‌‌‌​​​​‌‌‌​‌‌‌‌​‌‌​​‌​‌‌‌‌‌​​‌‌​‌​‌‌‍evidence her help determine impairment date an became disabl- cise disagree. We onset ing. Determining the date proper difficult, when, for exam- particularly is A alleged onset and date last ple, the can be of a onset date adequate past far in the are worked for application to individual’s critical In records are available. qualify A claimant can disability benefits. cases, necessary to infer it will such be disability begins only if her for SSDI the medical and onset date from insured, benefits and these date last history that describe the other evidence up to 12 months before paid can be pro- of the disease symptomatology 42 U.S.C. filed. See application was cess. contrast, (d)(1)(A). 423(a)(1), (c)(2), § be- once she eligible claimant is SSI cases, may possible, it be In some disabled, cannot receive she comes reason- based the medical applica- before her any period benefits for disabling onset ably infer that the 1382(c)(2), §§ tion See U.S.C. date. prior some time impairment(s) occurred 1382c(a)(3)(A). (c)(7), programs, For both first recorded the date the claim- is the date when examination, the claimant e.g., the date any engage substаntial ant unable long working. How the disease stopped or mental gainful activity physical due to have at a may be existed determined last expected to impairments that can be depends on an disabling severity level *6 42 U.S.C. for at 12 months. least of in judgment the facts the informed 1382c(a)(3)(A). 423(d)(1)(A), §§ however, judgment, This particular case. basis. At legitimate have a medical must in recently explained Died As we law hearing, the administrative the responsible isALJ Berryhill, “[t]he rich v. (ALJ) should call thе services judge resolving any studying record and the onset must be a medical of advisor in it.” 874 F.3d ambiguities conflicts or inferred. (9th 2017) 634, (citing v. Treichler 638 Cir. 31249, 83-20,1983 *2-3. at WL SSR Admin, 1090, F.3d Comm’r Sec. 775 of Soc. Rulings (9th 2014)). Security in Although “But circum Social 1098 Cir. law,” they of are carry must the “force stances where the ALJ determine do v. binding ALJs. onset and medical nevertheless Molina disability the date of (9th 1104, Astrue, 1113 n.5 Cir. F.3d period time 674 evidence from the relevant “reflect the official Rulings Security These inadequate, unavailable or Social Sеcurity of the Ad (“SSR”) interpretation [Social Ruling states that the 83-20 to entitled some def and are ministration] Id. 83- call a advisor.” SSR should they long are consistent with erence as provides: regulations.” Security Act and the Social containing descrip- reports Medical (citation omitted). Id. or tions of examinations treatment guidance as given some cases have Our individual are basic to determination requires 83-20 in which SSR to situations disability. of of the onset 1998), to a an ALJ seek help medical advisor’s held that the ALJ required we determining disability before claimant’s to call medical advisor to in assist deter- mining onset date. the onset date “Armstrong’s where depression disabling could have been long Sullivan, In DeLorme v. 924 F.2d 841 diagnosed. it before” was Id. at After 590. (9th 1991),we of Cir. considered case 1986, his him in Armstrong began wife left long-term disabling depression. man with drinking alcohol excessively, living in his Although incapaci- Id. at 844. DeLorme’s truck, recycling gain aluminum cans to tating depression diаgnosed was not until Id. at 588. In 1991 income. he belatedly specialist, he a mental health saw began suffering crying spells. at Id. 590. “possible diag- it was that the depression though Armstrong So even diag- was not might be found to [then] nosed have nosed with mental health disorders until at prior onset date some other time expert a medical helped could have of expiration years insured status” two a disability the ALJ infer be- date Id. at earlier. 847-49. We that on held Armstrong’s fore last date in 1992. insured faсts, 83-20 requires these “SSR ad- Id. at 588-89. judge upon ministrative law call of a services medical advisor and to obtain in Finally, v. Berryhill Diedrich held we all which is evidence available make the Security the Social Commissioner determination.” Id. at 848. by erred a medical advisor at hearing to help precise determine the Sullivan,

Similarly, Morgan onset date Diedrich’s under 1991), F.2d 1079 we reversed the presented. circumstances there determination of date of ALJ’s the onset at The majоrity F.3d reasoned the claimant’s mental disorders because 83-20 be- the ALJ did not consult a medical advisor. large there gaps cause were the medical Id. at 1082-83. While the claimant’s mental documenting ill- progress slow disability may triggered have been ness; alleged “the onset and the last operation hernia the “first unam- far in past”; are worked ALJ’s biguous in the of a assessment onset date only January occurred impairment” speculation have been would “mere with- whеn he was treated at a clinic expert.” out the aid a medical Id. anxiety and then referred a counselor. 638-39. Id. at 1081-82. Then in 1980 a March rheumatologist the claimant characterized cases, Throughout our have we *7 “nearly incapacitated by depres- severe requires that only observed “SSR 83-20 anxiety.” sion chronic at Ex- Id. 1082. in that the assist the claimant creat possible aminations in 1984 revealed ing complete a ... a record which forms schizophrenia, confirmed in which was Armstrong, onset 160 [the] basis date.” panel thought 1985. Id. On this the record 590; DeLorme, also 924 F.3d at see F.2d at hospital visits in “perhaps 1979 showed develop incomplete 849. The ALJ must an early progressive evidence of mental ill- by calling record on a medical advisor ness,” and that there were “indications when “medical from the relevant Morgan’s that mental disabl- condition was is period inadequate.” time unavailable 31, 1979,” ing prior to his date Diedrich, require 874 F.3d at 638. This

lаst insured for SSDI. Id. at 1082. readily applies incom ment most when an Next, Armstrong plete clearly support v. Commissioner an record could infer of (9th Security, disability began Social 160 Cir. that a F.3d 587 ence claimant’s

874 ap- that Wellington contends 83-20 SSR contemporaneous no were there when her onset See, DeLorme, our law because plies 924 case e.g., under medical records. retroactively inferred before could be “the ALJ date that (holding F.2d at examinatiоn. of Dr. Cushman’s the the develop when date ‍‌‌‌‌​​‌‌‌‌​​‌‌‌​​​​‌‌‌​‌‌‌‌​‌‌​​‌​‌‌‌‌‌​​‌‌​‌​‌‌‍fully the record” must hospital potential- that could The first visit docu by psychiatrist a first examination disability of in time back nonpsy- ly. cast a shadow term functional “long a mented by quali- a examination is the first relevant the claimant preventing chotic disorder” Morgan, 945 F.2d at 83-20 fied- examiner. See applies Because SSR working). from DeLorme, 843-44, 1081-82; 924 F.2d at infer may possible” be disabili “it when- date, Dr. Accordingly, of Cush- significant gap in the during ty onset examination could records, psychological enlist ALJ should also man’s medical 83-20’s,requirements because trigger “the evidence SSR expert’s help medical when by that -a doctor possibility the first examination ambiguous regarding was is expertise problems. at in mental health occurred” the onset Chater, previously Athough v. F.3d was seen time. Grebenick 1997). (8th by emergency physicians room 1193, 1201 many Cir. times providers, none center and health medical circumstances, ALJ’s “an those specially trained to doctors was these disability onset date assessment health, any nor did evaluate aid speculation be mere without would Welling- rigorously evaluate these doctors Diedrich, at expert.” of a medical F.3d impairments. ton’s psychological that, requirement in all 639. “The cases, Here, a medical advisor be not plain ALJ did violate SSR most inferring finding Wellington’s an onset date prior consulted 83-20 disabili pervasive on the merely ty a variation most onsеt date coincided with date law—that substan An ALJ need theme administrative Dr. Cushman’s examination. agency’s an deci not support tial evidence call on a medical advisor Chater, clearly sup not Bailey 68 F.3d could sions.” available evidence 83-20, “medical inference of port Under an all, Ater prescribed gap are the mechanism records. medical advisors evidentiary express reaching required Ruling’s language thresh does “[t]he ly old.” that the ALJ consult a medical Id mandate every the onset of case where

advisor Bailey, 68 be disability must inferred.” B F.3d Athough prior in our cases we apply appoint does that a advisor’s SSR 83-20 concluded meaningful gaps, so has no necessary, we decline when the do ment when, circumstances, A is not ordinary here. Under relatively inadequacies, “a despite claimant’s some equipped ALJ is to determine chronology” of the claim complete disability onset without *8 during time this сondition the conclude ant’s ‘relevant medical that advisor. We Bowen, Pugh circum v. 870 period unusual is available. present case does the 1989). (7th 1271, In 83-20, Cir. and so F.2d & n.9 by stances SSR 1278 envisioned situations, duty'to develop determining the ALJ’s by err these the did not Well discharged. Armstrong, is See a the record ington’s date without onset 590; DeLorme, 924 at 849. 160 F.2d F.3d at advisor. medical

875 Also, Wellington’s application advisor is a medical unneces reflected that her when, sary lifelong anxiety on “the nature оf the chronic based disorder was exac (i.e., medical, impairment presump by responded what erbated and stress well to can be made about reasonably disability tions the finding treatment. Her was condition),” evidence, of an ALJ course the can rea beginning based on record confidently, say. no sonably rea consultative-psychological and Dr. Cushman’s that evaluation, sonable medical advisor infer that examination showing the first .could disability began .рeriod significant the a for during After limits. that exami the docu got.worse which claimant lacked medical nation so her disorder that even 83-20, 31249, treatment, unmitigated 1983 WL at with pain and anxi mentation. *3. ety keep to expected were her from com workday to pleting up days normal seven Both exceptions of from those SSR--83- a quarter. But the evidence be available records, apply available here. The the possibility fore contradicts that then traсking dozen encounters about three Wellington’s anxiety was so severe and give adequate providers, with medical persistent keep to her out of as work Wellington’s chronology of mental health n May'2010. continuously before period be- the seventeen-month alleged onset date first tween her and existing The medical record does not psychological These visits oc- examination. support, medical the.need for a months, every curred at twо least once that SSR 83-20 states when because even for from except gap a three-month Febru- inferred, onset of disability can be that .a ary April 2010 that ended with visits “legitimate judgment requires. a medical Wellington displayed and reported, which 1983, 31249, 83-20, basis.” SSR at *3. WL providers no anxiety. Although her medical recognize experi- had We that professionals, they not mental health were distressing panic enced several attacks recognized De- anxiety. and treated ..her just But a few months . spite Wellington’s alleged lag the between later, Wellington’s that record shows onset date she examined disabling symptoms had- all disap- but. specialist, are not few rele- there so peared, Wellington began In March vant on file medical as records evoke treatment center stopped at health duty develop the ALJ’s un- record going to room. From emergency der SSR 83-20. time until the treatment of her end records

Moreover, Wellington’s January nature of pro- Well anti-anxiety ington’s anxiety vider prescribed disorder such medication reasonably expert infer and commented in their records could not about her good drug. for the The purposes progress provider she disabled became needed, of prescription or 2010. To renewed the SSDI SSI before. ‍‌‌‌‌​​‌‌‌‌​​‌‌‌​​​​‌‌‌​‌‌‌‌​‌‌​​‌​‌‌‌‌‌​​‌‌​‌​‌‌‍be dis- n SSDI, eligible claimant’s three continuing times medication continuously disabling symptoms Wellington’s must faded “be from the anymore. point it during' time of insured stаtus to the that she did ndt need for benefits.” Flaten January Wellington’s pre- application time last after ended, Sec’y Servs., Health & scription she Human complain F.3d did anxiety appear to be at Eligibility anxious regular at appointment or visits to similarly requires SSI continuous two for neck See emergency after room that month pain a claimant’s-onset date. U.S.C. 1382e(a)(3)(A). § The next time bronchitis. *9 advisor at the calling on a medical without pain muscle without 2010 indicate Mаy

in hearing. month, by an followed anxiety early in May on 23 and Dr. Cush-

anxiety attack AFFIRMED. later. days three finding her anxious

man WATFORD, Judge, dissenting: Circuit increasing severity Welling- Given to and their resistance symptoms ton’s I with court’s discussion agree months, subsequent substan- in treatment govern legal that resolution principles finding supports the ALJ’s tial evidence disagree with the ulti- but I appeal, 2010, when Dr.'Cushman exam- May that this case. As the court disposition in mate deter- Wellington and when the ALJ ined III.A, 83-20 re- in section SSR explains onset, impor- disability as an stands mined advisor appoint an ALJ to quires disorder, of her change in the course tant dis- determining in a claimant’s to assist longer she could no attend after which in situa- ability either two onset reliably. work (1) gap meaningful is a tions: when there (2) records; or when the medical during may wax and wane Symptoms complete, are See, of a progression mental disorder. ambigu- nonetheless available Colvin, 995, 759 F.3d e.g., Garrison is no to While there ous as date. hоwever, symptoms, Those gap Nancy Wellington’s med- significant ‘With may also subside treatment. records, my ical view evidence is adequate treatment some individuals anxiety, depres- ambiguous as when have only chronic mental disorders sion, stress disorder post-traumatic ameliorated, but symptoms signs their result, I think the disabling. As became of function close they to a level also return appoint a medical ALJ was they had before to the level of function here. advisor of their they symptoms signs or developed a dis- supports in the record Evidence 404, pt. 20 C.F.R. mental disorders.” 26, May 2010. ability onset date before (2014). P, subpt. app. Such evidence 24, leading up to December the six weeks relieving successfully treatment 2008, she be- contends can a claim of dis- symptoms undermine disabled, emergency she visited the came 404.1520a(c)(l), §§ ability. 20 C.F.R. See visits, In all of those Well- room 11 times. 416.920a(c)(l). happened That here is what of, of, signs ington complained exhibited Mаy until 2009, anxiety. During diagnosed with was adequate even Because emergency room six Wellington visited health Wellington saw a mental before part least in more times due at ex- specialist and no reasonable medical Dur- other disorders. anxiety and that her pert could have inferred medical visits ing eight additional least that May we began before conclude and treated her also noted doctors require the ALJ 83-20 did anxiety anxiety. Her doctors increasеd her before determin- consult medical three times dosage at least medication ing Wellington’s onset date. on year. of that over the course And Wellington was admitted stay related to multi-day inpatient hospital

IV anxiety attack anxiety, followed Dr. examination by May not err Cushman’s the ALJ ‍‌‌‌‌​​‌‌‌‌​​‌‌‌​​​​‌‌‌​‌‌‌‌​‌‌​​‌​‌‌‌‌‌​​‌‌​‌​‌‌‍did We hold demonstrates May 26. This evidence Wellington’s disability onset date finding *10 Wellington continually struggled impairments year for at least half before the date the ALJ determined disability began. ambiguous

Because the evidence Wellington’s impairments became I

disabling, think ALJ erred deter-

mining conclusively sup- the record 26, 2010,

ports Welling- as the date enough

ton’s impairments became severe prevent engaging her from in substan- 83-20, See gainful activity.

tial

WL at *3. I would for the remand to appoint advisor in this

case. America,

UNITED STATES

Plaintiff-Appellee,

v. ALDANA, Defendant-Appellant.

Rafael America,

United States

Plaintiff-Appellee, Suarez,

Julio Cesar Defendant-

Appellant. 16-50372,

No. No. 16-50385 Appeals,

United States Court of

Ninth Circuit.

Argued September and Submitted

1, 2017, Pasadena, California

Filed

Case Details

Case Name: Laurie Wellington v. Nancy Berryhill
Court Name: Court of Appeals for the Ninth Circuit
Date Published: Dec 29, 2017
Citation: 878 F.3d 867
Docket Number: 16-15188
Court Abbreviation: 9th Cir.
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