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Wanda M. Miles v. Michael J. Astrue

May 8, 2012


The opinion of the court was delivered by: Charles F. Eick United States Magistrate Judge


Plaintiff filed a Complaint on October 20, 2011, seeking review of the Commissioner's denial of benefits. The parties filed a "Consent to Proceed Before a United States Magistrate Judge" on November 10, 2011.

Plaintiff filed a "Motion for Summary Judgment" on April 2, 2012. Defendant filed a "Motion for Summary Judgment" on May 2, 2012. The Court has taken both motions under submission without oral argument. See L.R. 7-15; "Order," filed October 21, 2011.


Plaintiff filed an application for benefits on August 28, 2007, alleging disability beginning February 19, 2002 (Administrative Record ("A.R.") 119-25). In an accompanying "Disability Report," Plaintiff identified the "illnesses, injuries, or conditions that limit [her] ability to work" as "chronic pain in both legs, knees and feet" (A.R. 129). Later in the administrative process, Plaintiff added that she had been "in a car accident Dec. 3, 2007 and was later diagnosed with fibromyalgia, neck, hand and arm tremors" (A.R. 170). When examined by a consultative psychiatrist in June of 2008, Plaintiff denied she had any mental illness, denied receiving any type of mental health treatment, and reported no limitations in functioning due to any mental problem (A.R. 666-69). In a subsequent hearing before an Administrative Law Judge ("ALJ"), Plaintiff complained only of alleged pain, fibromyalgia, loss of control of her body, dizziness, blackouts, headaches, seizures, hearing deficits, and incontinence (A.R. 42-53). Thus, neither before nor during the administrative hearing did Plaintiff ever claim to have any mental impairment.

Not surprisingly, the evidence before the ALJ of any significant mental impairment was essentially nonexistent. The consultative psychiatrist gave no mental diagnosis, stating that "[w]hile the claimant does have complaints of depression, they are not out of the context of psychosocial medical stressors she is experiencing, and she does not meet diagnostic criteria for an Axis I diagnosis. As such, she has no symptoms of a major mental illness that would impair her ability to tolerate the stress inherent in the work environment, maintain regular attendance, or work without supervision" (A.R. 669). Although Plaintiff at one point listed "trazodone" as an "antidepressant medication" (A.R. 173), she reportedly was "not currently taking any psychiatric medications" as of June of 2008 (A.R. 667). A non-examining physician reviewed the record and found no medically determinable mental impairment as of July of 2008 (A.R. 670). In a note dated March 24, 2009, Dr. F.L. Irwin assessed "anxiety/depression," along with "chronic neck pain . . . cervical degenerative disc disease . . . cervical disc protrusion . . . cervical facet dysfunction . . . chronic pain syndrome . . . [and] fibromyalgia" (A.R. 789). Dr. Irwin did not offer an opinion regarding any functional limitation, did not prescribe any medication or treatment for "anxiety/depression," and in fact refused to prescribe the narcotics that Plaintiff requested (A.R. 789).

On June 16, 2009, the ALJ issued a decision finding Plaintiff not disabled (A.R. 31-36). This decision, which did not find any severe mental impairment, eventually became the final decision of the Administration (Id.; see A.R. 1).

Plaintiff challenges this decision, arguing that the decision should have "use[d] the psychiatric review technique" in evaluating and assessing a possible mental impairment. In support of her argument, Plaintiff cites 20 C.F.R. sections 404.1520a, 416.920a and Keyser v. Commissioner, 648 F.3d 721 (9th Cir. 2011) ("Keyser").

Plaintiff's challenge relies largely on evidence that was not available to the ALJ. Following the ALJ's adverse decision, Plaintiff submitted to the Appeals Council for the first time over 600 pages of additional materials, including some new evidence of alleged mental problems (A.R. 4-5). This new evidence, dated more than eight months after the ALJ's decision, reflects that Plaintiff underwent an "initial assessment" in February of 2010, which diagnosed a "mood disorder" (A.R. 833). Records dated later in 2010 mention depression and the prescribing of medication for depression (A.R. 837). None of the newly-submitted documents appear to contain any medical opinion concerning Plaintiff's mental health condition during the relevant time frame (February 19, 2002 - June 16, 2009). Nor do these documents appear to contain any medical opinion concerning any functional limitation assertedly resulting from Plaintiff's supposed "mood disorder" or "depression," although one of the documents did rate Plaintiff's GAF at 50 as of February 12, 2010 (A.R. 833).

The Appeals Council considered the newly-submitted evidence, but denied review (A.R. 1-3).


Under 42 U.S.C. section 405(g), this Court reviews the Administration's decision to determine if: (1) the Administration's findings are supported by substantial evidence; and (2) the Administration used correct legal standards. See Carmickle v. Commissioner, 533 F.3d 1155, 1159 (9th Cir. 2008); Hoopai v. Astrue, 499 F.3d 1071, 1074 (9th Cir. 2007). Substantial evidence is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971) (citation and quotations omitted); see also Widmark v. Barnhart, 454 F.3d 1063, 1067 (9th Cir. 2006).

Where, as here, the Appeals Council considered additional material but denied review, the additional material becomes part of the Administrative Record for purposes of the Court's analysis. See Harman v. Apfel, 211 F.3d 1172, 1179-80 (9th Cir.), cert. denied, 531 U.S. 1038 (2000) (reviewing court properly may consider materials submitted to the Appeals Council when the Appeals Council addressed the materials in denying review); Ramirez v. Shalala, 8 F.3d 1449, 1452 (9th Cir. 1993) ("although the Appeals Council declined to review the decision of the ALJ, it reached this ruling after considering the case on the merits; examining the entire record, including the additional material; and concluding that the ALJ's decision was proper and that the additional material failed to provide a basis for changing the hearing decision. For these reasons, we consider on appeal both the ALJ's decision and the additional material submitted to the Appeals Council") (citations and quotations ...

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