Wearable therapeutic device

A therapeutic device comprising:

• a garment configured to be worn about a torso of a patient;
• a therapy electrode pocket disposed in the garment;
• a therapy electrode having a conductive surface, the therapy electrode configured to be disposed within the therapy electrode pocket;
• orientation circuitry disposed proximate the therapy electrode pocket;
• a plurality of electrocardiogram (ECG) electrodes disposed in the garment;
• a monitor configured to:
• monitor an ECG signal for patient arrhythmia;
• based on the orientation circuitry, sense whether the therapy electrode is properly positioned against the patient's skin;
• and
• cause therapy to be delivered to the patient in response to the patient not responding to a warning within a time period;
• an alarm module separate from the monitor and including a response button, the alarm module configured to:
• provide audible, haptic, or visual alert if the therapy electrode is not properly positioned;
• provide the warning that therapy will be delivered responsive to arrhythmia being detected by the monitor;
• allow for the patient to respond to the warning using the response button;
• and
• receive a response from the patient during the time period.