Adjustment of therapeutic stimulation

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 conductively connected to the implanted controller;
• receiving data indicative of feedback associated with a patient rating of the therapeutic stimulation from the patient via a patient input device;
• automatically adjusting, with the implanted controller, at least one of the plurality of stimulation parameters without receiving more data from the patient via the patient input device, wherein the at least one stimulation parameter is adjusted within a respective limit and the automatic adjusting includes a random adjustment of the at least one stimulation parameter being adjusted;
• 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;
• receiving additional data indicative of feedback associated with another patient rating of the adjusted therapeutic stimulation from the patient via the patient input device;
• and
• executing a machine learning algorithm based on the stimulation parameters and received data indicative of feedback, to determine preferred stimulation parameters.