1. A system, comprising: a neural stimulator configured to deliver a programmed neural stimulation therapy using a programmable stimulation parameter, the system being configured to determine whether the neural stimulation therapy causes an undesired side effect event and generate a side effect signal when the neural stimulation therapy causes the side effect event; a controller configured to: communicate with the neural stimulator to adjust the programmable stimulator parameter; receive the side effect signal, initiate a communication reporting the side effect event to a clinician; receive a clinician-initiated command to adjust the programmable stimulation parameter; and operate on the clinician-initiated command to adjust the programmable stimulation parameter.