Evaluating Your Progress
Place an X on the line to describe your general experience over the past 2 weeks.

VNS Therapy procedure date (Month / Day / Year): _______________

Most recent VNS Therapy adjustment (Month / Day / Year): _______________

Date (Month / Day / Year): _______________

My energy level is...

LOW ______________________________ HIGH

My emotional state is...

DEPRESSED ______________________________ BALANCED

I have negative thoughts...

OFTEN ______________________________ NEVER

I interact or socialize with others...

NEVER ______________________________ OFTEN

Friends or family tell me they see a change for the better...

NEVER ______________________________ OFTEN

VNS Therapy 3-month journal
Write down thoughts and experiences that relate to your answers.

Click the print button to print out a copy you can bring to your psychiatrist.


  Share your experiences with VNS Therapy

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The VNS Therapy System is indicated for use as an adjunctive therapy in reducing the frequency of seizures in adults and adolescents over 12 years of age with partial onset seizures, which are refractory to antiepileptic medications.

VNS Therapy (or the VNS Therapy System) is indicated for the adjunctive long-term treatment of chronic or recurrent depression for patients over the age of 18 who are experiencing a major depressive episode and have not had an adequate response to four or more adequate antidepressant treatments.