A system comprising a user interface configured to receive input from a user; and processing circuitry configured to control electrical stimulation circuitry to output electrical stimulation to a patient, wherein the electrical stimulation is defined by parameters, the parameters comprising ON-time and OFF-time, and wherein the electrical stimulation is configured to relieve symptoms of the patient; and increment the OFF-time by a first duration; characterized in that processing circuitry is further configured to: receive input via the user interface, the first input describing that the symptoms of the patient have not returned; responsive to receiving input that the symptoms of the patient have not returned increment the OFF-time by the first duration; receive input describing that the symptoms of the patient have returned; responsive to receiving input that the symptoms of the patent have returned, decrease the OFF-time by a second duration. a user interface configured to receive input from a user; and processing circuitry configured to control electrical stimulation circuitry to output electrical stimulation to a patient, wherein the electrical stimulation is defined by parameters, the parameters comprising ON-time and OFF-time, and wherein the electrical stimulation is configured to relieve symptoms of the patient; and increment the OFF-time by a first duration; characterized in that processing circuitry is further configured to: receive input via the user interface, the first input describing that the symptoms of the patient have not returned; responsive to receiving input that the symptoms of the patient have not returned increment the OFF-time by the first duration; receive input describing that the symptoms of the patient have returned; responsive to receiving input that the symptoms of the patent have returned, decrease the OFF-time by a second duration. control electrical stimulation circuitry to output electrical stimulation to a patient, wherein the electrical stimulation is defined by parameters, the parameters comprising ON-time and OFF-time, and wherein the electrical stimulation is configured to relieve symptoms of the patient; and wherein the electrical stimulation is defined by parameters, the parameters comprising ON-time and OFF-time, and wherein the electrical stimulation is configured to relieve symptoms of the patient; and increment the OFF-time by a first duration; characterized in that processing circuitry is further configured to: receive input via the user interface, the first input describing that the symptoms of the patient have not returned; responsive to receiving input that the symptoms of the patient have not returned increment the OFF-time by the first duration; receive input describing that the symptoms of the patient have returned; responsive to receiving input that the symptoms of the patent have returned, decrease the OFF-time by a second duration. receive input via the user interface, the first input describing that the symptoms of the patient have not returned; responsive to receiving input that the symptoms of the patient have not returned increment the OFF-time by the first duration; receive input describing that the symptoms of the patient have returned; responsive to receiving input that the symptoms of the patent have returned, decrease the OFF-time by a second duration.