A method of neurostimulation may include delivering an electrical signal to a plurality of electrodes connected to a patient. The electrical signal may include a plurality of spaced-apart packets of electrical pulses. The method may include modulating at least one of a quantity of the plurality of electrical pulses within ones of the plurality of packets of electrical pulses, a width in time of the plurality of electrical pulses within ones of the plurality of packets of electrical pulses, an amplitude in voltage of the plurality of electrical pulses within ones of the plurality of packets of electrical pulses, a separation in time between adjacent ones of the plurality of electrical pulses within ones of the plurality of packets of electrical pulses, and a separation in time between adjacent ones of the plurality of packets of electrical pulses to modulate the electrical signal.

An in-ear stimulator for administering thermal stimulation to the ear canal of a subject includes (a) an earpiece configured to be insertable into the ear canal of said subject, the earpiece having an outer surface and an internal cavity formed therein, the internal cavity having an inner surface; and (b) at least one thermoelectric device thermally coupled to the earpiece internal cavity inner surface.

A method and apparatus for diagnosing and/or treating mood disorders, such as depression, is provided. Right vestibular function in subjects diagnosed with a mood disorder is diminished compared with subjects who do not have a mood disorder. Accordingly, a method and apparatus for determining right vestibular function in a subject is provided, from which a diagnosis of a mood disorder may be determined. Stimulation of the vestibular system of a subject diagnosed with a mood disorder may reduce symptoms of the mood disorder in the subject. A method and apparatus for registering a subject's response to stimulation of the vestibular system and providing therapeutic vestibular stimulation based on the subject's response is provided. A subject's response to stimulation of the vestibular system may be based on measurements of nystagmus in the subject.

An in-ear stimulation device for administering caloric stimulation to the ear canal of a subject includes (a) first and second earpieces configured to be insertable into the ear canals of the subject; (b) at least first and second thermoelectric devices thermally coupled to respective ones of the first and second earpieces; (c) a first heat sink thermally coupled to the first thermoelectric device opposite the first earpiece and a second heat sink thermally coupled to the second thermoelectric device opposite the second earpiece; and (d) a controller comprising a waveform generator in communication with the first and second thermoelectric devices, the waveform generator configured to generate a first control signal to control a first caloric output to the first thermoelectric device and a second control signal to control a second caloric output to the second caloric device.

A device for delivering caloric vestibular stimulation to an individual, includes: (a) an earpiece configured to be at least partially insertable into the ear canal of the individual for delivering a first thermal stimulus; (b) an input unit for receiving a user input indicating efficacy of said first thermal stimulus, and (c) a controller operatively associated with said earpiece and said input unit for: (i) controlling said earpiece to provide said first thermal stimulus, and (ii) receiving a signal corresponding to the user input and generating a control signal to control the earpiece and delivering a subsequent thermal stimulus different from said first thermal stimulus. In some embodiments, each thermal stimulus is an actively controlled time varying waveform stimulus.

Caloric stimulation and pressure stimulation can be applied to the ear for treatment of neurological disorders, such as migraine, pain, and headache. Heat can be applied first to increase the sensitivity of the mechanoreceptors in the ear. The pressure can be applied after heating to produce a stronger neurological response than would occur without the heating. In some cases, cooling can be used. Valves can be used to direct fluid flow to a right ear, a left ear, or both. Valves can be used to transition the system between an irrigation or caloric mode and a pressure mode. Green eyewear can be used for therapeutic relief.

An attachment for a device for generating an air flow or dispensing a fluid, which attachment is designed to be at least partially introduced into an external auditory canal of a human or animal ear, the attachment including a connection piece for connecting the attachment to the device for generating an air flow, and a tongue-type guide vane for conducting air that flows out of the device for generating an air flow via the connection piece, the guide vane having a bottom.

A wearable device combines its existing functions (e.g., a headphone) with non-invasive autonomic modulation using tragus or other external auditory meatus stimulation. The wearable device can output audio to a user, such as music, podcast, etc., and further provide modulation of the vagus nerve via tragus stimulation or other external auditory meatus stimulation to treat various diseases.

A device for delivering caloric vestibular stimulation to an individual, includes: (a) an earpiece configured to be at least partially insertable into the ear canal of the individual for delivering said caloric vestibular stimulation; (b) a power supply operatively associated with said earpiece; and (c) a controller operatively associated with said power supply and said earpiece for configuring said caloric vestibular stimulation as at least a first and second time-varying waveform. Preferably, the waveforms are actively controlled waveforms.

A method and apparatus for diagnosing and/or treating mood disorders, such as depression, is provided. Right vestibular function in subjects diagnosed with a mood disorder is diminished compared with subjects who do not have a mood disorder. Accordingly, a method and apparatus for determining right vestibular function in a subject is provided, from which a diagnosis of a mood disorder may be determined. Stimulation of the vestibular system of a subject diagnosed with a mood disorder may reduce symptoms of the mood disorder in the subject. A method and apparatus for registering a subject's response to stimulation of the vestibular system and providing therapeutic vestibular stimulation based on the subject's response is provided. A subject's response to stimulation of the vestibular system may be based on measurements of nystagmus in the subject.