IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
DIVISION ONE
JULIE D. COOK-CRIST, ) No. 81325-1-I
)
Appellant, )
)
v. )
)
DEPARTMENT OF LABOR & ) UNPUBLISHED OPINION
INDUSTRIES of the STATE OF )
WASHINGTON, )
)
Respondent. )
)
VERELLEN, J. — Mental health conditions caused by workplace stress are
exempt from coverage as occupational diseases under the Industrial Insurance
Act.1 Julie Cook-Crist applied for workers’ compensation benefits for mental
health conditions caused by extreme interpersonal conflict with a coworker and
fear of losing her job. Because mental health conditions caused by such
experiences are not compensable, the Department of Labor and Industries
(Department), Board of Industrial Insurance Appeals (Board), and the superior
court properly denied her claim as a matter of law. We affirm.
FACTS
Julie Cook-Crist worked as an administrative assistant at Network
Communications, Inc. (NCI) from 2007 to 2010. Cook-Crist testified that, in 2008,
1 RCW 51.08.142.
No. 81325-1-I/2
co-worker Andrea North began routinely screaming, using profanity, and lashing
out at her without provocation. North also frequently engaged in aggressive
behavior such as stomping around the office and slamming doors. Cook-Crist
came to dread interactions with North. She was in constant fear of the next
outburst, a situation she likened to domestic abuse. Cook-Crist’s attempts to
address the situation directly with North were not successful, so she sought
assistance from her supervisor, Terry Fritz. But Fritz did not adequately address
Cook-Crist’s concerns. Cook-Crist was constantly anxious and afraid she would
be fired from her job, which she otherwise enjoyed. She felt trapped in “fight or
flight” mode, was on constant alert, and was very upset nearly all the time.2
By March 2010, Cook-Crist felt that her ability to function was severely
declining, so she made an appointment with her doctor and contacted NCI’s
human resources department. On March 15, 2010, Cook-Crist’s doctor put her on
immediate medical leave from her job. NCI terminated Cook-Crist’s employment
two days later. Cook-Crist has not worked since then.
On June 20, 2013, Cook-Crist filed an application for workers’
compensation benefits resulting from “work conditions/environment that included
repeated exposure to psychological abuse due to continual workplace violence.”3
The application listed her diagnoses as depression with anxiety and obsessive
compulsive disorder (OCD). On June 25, 2013, the Department denied Cook-
2 Administrative Record (AR) at 591.
3 AR at 1637.
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No. 81325-1-I/3
Crist’s claim for benefits on the ground that her condition was not the result of an
industrial injury and was not an occupational disease within the meaning of
RCW 51.08.140. The Department issued an order affirming its decision on
September 9, 2013.
Cook-Crist appealed to the Board. To support her claim, Cook-Crist
presented several medical witnesses to testify regarding her mental health
conditions and their causes.
Cook-Crist’s therapist, Susan Valentine, testified that Cook-Crist’s situation
at work exacerbated her preexisting OCD. Dr. Laura Brown, a psychologist who
evaluated Cook-Crist in 2014, similarly testified that severe workplace stressors at
NCI caused a “disabling worsening” of Cook-Crist’s OCD symptoms.4 Dr. Brown
also diagnosed Cook-Crist with unspecified depressive disorder, obsessive
compulsive personality disorder, and unspecified trauma and stressor-related
disorder, with the latter condition proximately caused by Cook-Crist’s employment
at NCI.
Dr. Richard Adler, a forensic psychiatrist who evaluated Cook-Crist in 2015,
testified that he diagnosed her with OCD, unspecified depressive disorder, and
unspecified stressor disorder. He opined that Cook-Crist’s OCD was physical and
brain-based, and that the workplace conditions at NCI aggravated her OCD and
depressive disorder and caused her stressor-related disorder. Dr. Adler further
opined that the repeated trauma that Cook-Crist was exposed to in the workplace
4 AR at 673.
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No. 81325-1-I/4
more likely than not caused physiological changes in brain function at the cellular
level.
Dr. Martha Glisky, a clinical neuropsychologist who evaluated Cook-Crist in
2017 and 2018, testified that she diagnosed Cook-Crist with OCD, persistent
depressive disorder, adjustment disorder not otherwise specified, and an
unspecified neurocognitive disorder. Dr. Glisky also found significant deficits with
Cook-Crist’s processing speed and executive function. Dr. Glisky testified that
Cook-Crist experienced trauma in the workplace due to North’s behavior. She
opined that trauma, unlike stress, is a psychological and neurobiological disorder
that causes physiological changes in the brain. Dr. Glisky opined that Cook-Crist’s
“physiological response to a trauma was enough to trigger a downward spiral and
an increase in some pre-existing symptoms and likely a new onset of others that
had been well-managed before this occurred.”5
After Cook-Crist presented her case, the Department moved for dismissal
under CR 41(b)(3). The Department argued that even if Cook-Crist’s evidence
were accepted as true, she failed to present a prima facie claim for relief as a
matter of law because mental health conditions caused by workplace stress are
excluded from coverage as occupational diseases under RCW 51.08.142 and
WAC 296-14-300. On January 31, 2019, the Board issued a proposed decision
and order granting the Department’s motion to dismiss and affirmed the order
rejecting Cook-Crist’s claim. On May 13, 2019, the Board entered a final decision
5 AR at 1239.
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No. 81325-1-I/5
and order dismissing Cook-Crist’s appeal of the Department’s order rejecting her
claim. In so ruling, the Board entered findings of fact and conclusions of law.
Cook-Crist appealed the Board’s decision to superior court. On March 16,
2020, after conducting a de novo review of the record, the superior court affirmed
the Board’s decision. The superior court ruled that the Board correctly dismissed
Cook-Crist’s case because her conditions are mental conditions caused at least
partly by stress and are therefore excluded from coverage as “occupational
diseases” under RCW 51.08.142 and WAC 296-14-300. The superior court also
ruled alternatively that Cook-Crist failed to establish that any of her mental
conditions arose naturally and proximately from the distinctive conditions of her
employment. Cook-Crist appeals.
ANALYSIS
The Washington Industrial Insurance Act (IAA), Title 51 RCW, governs
judicial review of workers’ compensation decisions.6 A worker aggrieved by the
Board’s decision and order may appeal to the superior court.7 “In an appeal from
the Board, the superior court acts in an appellate capacity and reviews the
decision de novo ‘based solely on the evidence and testimony presented to the
Board.’”8 “The Board’s decision is prima facie correct under RCW 51.52.115, and
Rogers v. Dep’t of Labor and Indus., 151 Wn. App. 174, 179, 210 P.3d
6
355 (2009).
7 RCW 51.52.110.
LaRose v. Dep’t of Labor & Indus., 11 Wn. App. 2d 862, 880, 456 P.3d
8
879 (2020) (quoting Leuluaialii v. Dep’t of Labor & Indus., 169 Wn. App. 672, 677,
279 P.3d 515 (2012)), review denied, 195 Wn.2d 1025 (2020).
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No. 81325-1-I/6
a party attacking the decision must support its challenge by a preponderance of
the evidence.”9 We review the decision of the superior court rather than the
decision of the Board.10
The superior court's decision in an industrial insurance appeal is subject to
the ordinary standard of review for civil cases.11 Here, the superior court affirmed
the Board’s dismissal of Cook-Crist’s appeal under CR 41(b)(3), which provides
that a trial court sitting without a jury may grant a motion to dismiss at the close of
the plaintiff’s case “on the ground that upon the facts and the law the plaintiff has
shown no right to relief.” In granting a motion to dismiss under CR 41(b)(3), “the
court may weigh the evidence and make a factual determination that the plaintiff
has failed to come forth with credible evidence of a prima facie case, or the court
may view the evidence in the light most favorable to the plaintiff and rule as a
matter of law that the plaintiff has failed to establish a prima facie case.” 12 Where
a court has dismissed an action as matter of law, our review is de novo.13
Questions of statutory interpretation are also reviewed de novo.14 “The liberal
9 Ruse v. Dep’t of Labor & Indus., 138 Wn.2d 1, 5, 977 P.2d 570 (1999).
10 Birgen v. Dep’t of Labor & Indus., 186 Wn. App. 851, 856, 347 P.3d 503
(2015).
11 RCW 51.52.140; Rogers, 151 Wn. App. at 180-81.
Hendrickson v. Dep’t of Labor & Indus., 2 Wn. App. 2d 343, 352, 409
12
P.3d 1162 (2018).
13In re Adoption of S.H., 169 Wn. App. 85, 100-01, 279 P.3d 474 (2012)
(quoting Commonwealth Real Estate Servs. v. Padilla, 149 Wn. App. 757, 762,
205 P.3d 937 (2009)).
14 Cockle v. Dep’t of Labor and Indus., 142 Wn.2d 801, 807, 16 P.3d 583
(2001).
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No. 81325-1-I/7
construction of the IIA necessitates that all doubts be resolved in favor of
coverage.”15 Although the Board's interpretation of the IIA does not bind an
appellate court, in most circumstances “‘it is entitled to great deference.’”16
I. Occupational Disease
Under the IIA, a worker who suffers disability resulting from an occupational
disease is entitled to disability benefits.17 RCW 51.08.140 defines an
“occupational disease” as “such disease or infection as arises naturally and
proximately out of employment.” In 1988, the legislature directed the Department
to adopt a rule providing that “claims based on mental conditions or mental
disabilities caused by stress do not fall within the statutory definition of
occupational disease in RCW 51.08.140.”18
Pursuant to this plain and unambiguous statutory mandate, the Department
adopted WAC 296-14-300.19 WAC 296-14-300(1) expressly states that claims
“based on mental conditions or mental disabilities caused by stress do not fall
within the definition of an occupational disease in RCW 51.08.140.” WAC 296-14-
Dep’t of Labor & Indus. v. Lyons Enters. Inc., 185 Wn.2d 721, 734, 374
15
P.3d 1097 (2016).
Richardson v. Dep’t of Labor & Indus., 6 Wn. App. 2d at 903 (quoting
16
Weyerhaeuser Co. v. Tri, 117 Wn.2d 128, 138, 814 P.2d 629 (1991)).
17 RCW 51.32.180.
18 LAWS OF 1988, ch. 161, § 16, codified as RCW 51.08.142.
19Unless expressly stated otherwise, we refer to the regulation in effect at
the time of Cook-Crist’s claim throughout this opinion.
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No. 81325-1-I/8
300(1) provides the following nonexclusive list of workplace stressors that do not
fall within the definition of occupational disease:
(a) Change of employment duties;
(b) Conflicts with a supervisor;
(c) Actual or perceived threat of loss of a job, demotion, or
disciplinary action;
(d) Relationships with supervisors, coworkers, or the public;
(e) Specific or general job dissatisfaction;
(f) Work load pressures;
(g) Subjective perceptions of employment conditions or environment;
(h) Loss of job or demotion for whatever reason;
(i) Fear of exposure to chemicals, radiation biohazards, or other
perceived hazards;
(j) Objective or subjective stresses of employment;
(k) Personnel decisions;
(l) Actual, perceived, or anticipated financial reversals or difficulties
occurring to the businesses of self-employed individuals or
corporate officers.
WAC 296-14-300(2) further provides that “[s]tress resulting from exposure
to a single traumatic event” is compensable as an industrial injury. Thus, a mental
health condition may qualify for coverage as an industrial injury “if the condition
resulted from a sudden, tangible, and traumatic event that produced an immediate
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No. 81325-1-I/9
result.”20 Here, however, Cook-Crist’s claim is based solely on occupational
disease, not industrial injury.
In support of her occupational disease claim, Cook-Crist testified that her
conditions were caused by the extreme interpersonal conflict she experienced with
North, her supervisor’s failure to address her concerns, and fear that the situation
with North would cause her to lose her job. But mental health conditions caused
by such workplace stressors are expressly excluded from occupational disease
coverage pursuant to WAC 296-14-300(1)(b), (c), and (d) (conflicts with a
supervisor, actual or perceived threat of loss of a job, and relationships with
supervisors and coworkers).
Cook-Crist nevertheless asserts that her claim is not excluded from
coverage because her medical witnesses characterized her workplace
experiences as repetitive traumas, not stress. She contends that RCW 51.08.142
only excludes occupational disease claims for “mental conditions or mental
disabilities caused by stress,” not by repeated exposure to traumatic events.21
She therefore contends that WAC 296-14-300(1) is invalid to the extent that it
explicitly or implicitly restricts occupational disease claims based on trauma rather
than stress.
20Rothwell v. Nine Mile Falls School Dist., 149 Wn. App. 771, 780, 206
P.3d 347 (2009) (citing Boeing v. Key, 101 Wn. App. 629, 633-34, 5 P.3d 16
(2000)).
21 Appellant’s Br. at 25.
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No. 81325-1-I/10
However, in LaRose v. Department of Labor & Industries, this court recently
rejected Cook-Crist’s proposed distinction between stress and trauma.22 In
LaRose, a public defender filed a claim for benefits based on posttraumatic stress
disorder (PTSD) and major depressive disorder she developed after being stalked
and harassed by a client. The Department concluded that her condition was not
an occupational disease under RCW 51.08.140 and was excluded from coverage
under RCW 51.08.142 and WAC 296-14-300.23 LaRose argued that the
Department exceeded the scope of its statutory authority by amending WAC 296-
14-300(2)(d) in 2015 to state that “[r]epeated exposure to traumatic events,” none
of which meet the rule’s definition of a “single traumatic event,” is excluded as an
occupational disease. LaRose asserted that the legislature only authorized the
Department to exclude occupational disease claims for mental conditions caused
by stress, not repeated exposure to traumatic events.24
In rejecting LaRose’s argument, this court noted that former
RCW 51.08.142 expressly directed the Department to exclude stress-related
occupational disease coverage for mental conditions and disabilities caused by
“[r]epeated exposure to traumatic events.”25 The LaRose court also noted that in
2018, the legislature amended RCW 51.08.142 to exempt firefighters and law
enforcement officers from the statute’s exclusion for stress-based mental health
22 11 Wn. App. 2d 862, 880, 456 P.3d 879 (2020).
23 Id. at 875.
24 Id.
25 Id. at 887-88.
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No. 81325-1-I/11
conditions while leaving unchanged the general exclusion for repeated traumatic
events.26 Legislative acquiescence in the Department’s determination that such
events are not distinguishable from other excluded workplace stressors is strong
evidence that the Department’s interpretation is consistent with legislative intent.27
Cook-Crist argues that LaRose’s holding that repeated traumas do not give
rise to an occupational disease claim is inapplicable here because it was based on
WAC 296-14-300(2)(d), which was enacted after she filed her claim. But the
LaRose court’s ruling was based on the same argument advanced here: that there
is a legally relevant distinction in this context between “stress” and “trauma
resulting from stress.”28
Moreover, even prior to the 2015 amendment, courts recognized that
multiple traumatic events do not give rise to occupational disease claims. In
Rothwell v. Nine Mile Falls School District, the court concluded that the plaintiff’s
PTSD did not meet the definition for an occupational disease under
RCW 51.08.142 and WAC 296-14-300(1) because it resulted from “a series of
incidents over a period of a few days” rather than “from a single traumatic event.”29
In so holding, the Rothwell court recognized that claims for stress are excluded
26 Id. at 890-91.
27 See Skagit Surveyors & Eng’rs, LLC v. Friends of Skagit County, 135
Wn.2d 542, 566, 958 P.2d 962 (1998) (legislature’s failure to amend a statute
interpreted by administrative regulation may constitute silent acquiescence in the
agency’s interpretation of the statute).
28 See LaRose, 11 Wn. App. 2d at 887-88.
29 149 Wn. App. 771, 782, 206 P.3d 347 (2009).
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No. 81325-1-I/12
from coverage unless they result from a single sudden traumatic event
compensable as an industrial injury.
Cook-Crist further argues that her conditions are not subject to the
exclusions set out in RCW 51.08.142 and WAC 296-14-300 because Dr. Adler and
Dr. Glisky testified that her conditions have a physiological component and are not
purely mental. In defining mental conditions, courts turn to the American
Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders
(DSM), which is “the authoritative treatise that defines, classifies, and provides
criteria to diagnose mental disorders.”30 It is undisputed that Cook-Crist’s alleged
conditions are mental conditions and that Cook-Crist’s experts relied on the DSM-
V in diagnosing them. Dr. Adler and Dr. Glisky acknowledged that the DSM-V
refers to OCD, depressive disorder, adjustment disorder, and unspecified
neurocognitive disorder as mental disorders. Although Cook-Crist’s experts
emphasized the physiological aspect of her mental disorders, the plain language
of the statute makes no such distinction. “[A] court must not add words where the
legislature has chosen not to include them.”31 Cook-Crist’s expert testimony
regarding trauma and physiological changes does not remove her diagnosed
mental conditions from the statutory bar.
Because mental health conditions caused by Cook-Crist’s workplace
experiences are not compensable as an occupational disease, we conclude that
30 LaRose, 11 Wn. App. 2d at 870.
31
Restaurant Dev., Inc. v. Cananwill, Inc., 150 Wn.2d 674, 682, 80 P.3d
598 (2003).
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No. 81325-1-I/13
the superior court properly denied her claim as a matter of law. We therefore need
not reach Cook-Crist’s argument that the superior court erred in alternatively ruling
that she failed to establish that any of her mental conditions arose naturally and
proximately from the distinctive conditions of her employment.
II. Attorney Fees
Cook-Crist requests attorney fees and costs incurred at the superior court
and on appeal under RAP 18.1 and RCW 51.52.130. RAP 18.1 permits recovery
of reasonable attorney fees or expenses on review if applicable law grants that
right. RCW 51.52.130 authorizes an award of fees “[i]f, on appeal to the superior
or appellate court from the decision and order of the board, said decision and
order is reversed or modified and additional relief is granted to a worker or
beneficiary.” Because the superior court did not reverse or modify the Board’s
decision and order, and we affirm that decision, Cook-Crist is not entitled to an
award of attorney fees.
Affirmed.
WE CONCUR:
13