Some embodiments relate to a method of adjusting therapeutic stimulation from a therapeutic stimulation system. The method comprising: providing therapeutic stimulation based on a plurality of stimulation parameters to a patient with an implanted controller and at least two electrodes； receiving data indicative of feedback associated with a patient rating of the therapeutic stimulation via a patient input device； automatically adjusting, with the implanted controller, at least one of the plurality of stimulation parameters； and providing adjusted therapeutic stimulation based on the adjusted at least one stimulation parameter to the patient with the controller and the at least two electrodes. The method further comprises receiving additional data indicative of feedback associated with another patient rating of the adjusted therapeutic stimulation； and executing a machine learning algorithm based on the stimulation parameters and received data indicative of feedback, to determine preferred stimulation parameters.
