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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>UNITED STATES</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>SECURITIES AND EXCHANGE COMMISSION</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>Washington, D.C.&nbsp;20549</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>FORM 8-K</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>CURRENT REPORT</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">Date of Report&nbsp;&nbsp;(Date of Earliest
Event Reported):&nbsp; <B>&nbsp;October 19, 2012</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>CNS RESPONSE, INC.</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">(Exact name of Company as specified in its
charter)</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 100%; font: 10pt Times New Roman, Times, Serif; border-collapse: collapse">
<TR>
    <TD STYLE="vertical-align: top; width: 32%; padding-right: 0.8pt; font-weight: bold; text-align: center"><B>Delaware</B></TD>
    <TD STYLE="vertical-align: bottom; width: 5%; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: top; width: 29%; padding-right: 0.8pt; font-weight: bold; text-align: center"><B>0-26285</B></TD>
    <TD STYLE="vertical-align: bottom; width: 5%; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: top; width: 29%; padding-right: 0.8pt; font-weight: bold; text-align: center"><B>87-0419387</B></TD></TR>
<TR>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt; text-align: center">(State or other</TD>
    <TD STYLE="vertical-align: bottom; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt; text-align: center">(Commission File No.)</TD>
    <TD STYLE="vertical-align: bottom; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt; text-align: center">(I.R.S. Employer</TD></TR>
<TR>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt; text-align: center">&nbsp;jurisdiction of</TD>
    <TD STYLE="vertical-align: bottom; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: bottom; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt; text-align: center">Identification No.)</TD></TR>
<TR>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt; text-align: center">incorporation)</TD>
    <TD STYLE="vertical-align: bottom; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: bottom; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="vertical-align: top; padding-right: 0.8pt">&nbsp;</TD></TR>
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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>85 Enterprise, Suite 410</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>Aliso Viejo, CA&nbsp;92656</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">(Address of principal executive offices)</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>(714) 545-3288</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">(Registrant&rsquo;s telephone number, including
area code)</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>Not Applicable</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">(Former name or former address, if changed
since last report)</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">Check the appropriate box below if the Form 8-K filing is intended
to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

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    <TD STYLE="width: 4%; padding-right: 0.8pt"><FONT STYLE="font-family: Wingdings">&#168;</FONT></TD>
    <TD STYLE="width: 96%; padding-right: 0.8pt">Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)</TD></TR>
</TABLE>
<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

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<TR STYLE="vertical-align: top">
    <TD STYLE="width: 4%; padding-right: 0.8pt"><FONT STYLE="font-family: Wingdings">&#168;</FONT></TD>
    <TD STYLE="width: 96%; padding-right: 0.8pt">Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)</TD></TR>
</TABLE>
<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 100%; font: 10pt Times New Roman, Times, Serif; border-collapse: collapse">
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 4%; padding-right: 0.8pt"><FONT STYLE="font-family: Wingdings">&#168;</FONT></TD>
    <TD STYLE="width: 96%; padding-right: 0.8pt">Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))</TD></TR>
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<TR STYLE="vertical-align: top">
    <TD STYLE="width: 4%; padding-right: 0.8pt"><FONT STYLE="font-family: Wingdings">&#168;</FONT></TD>
    <TD STYLE="width: 96%; padding-right: 0.8pt">Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))</TD></TR>
</TABLE>
<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;&nbsp;&nbsp;</P>

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<TABLE CELLPADDING="0" CELLSPACING="0" STYLE="font: 10pt Times New Roman, Times, Serif; margin-top: 0; margin-bottom: 6pt"><TR STYLE="vertical-align: top; text-align: justify">
<TD STYLE="width: 0in"></TD><TD STYLE="width: 1in; text-align: left"><B>Item 1.01</B></TD><TD STYLE="text-align: justify"><B>Entry into a Material Definitive Agreement.</B></TD>
</TR></TABLE>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">The description of the  Bridge Financing Purchase
Agreement (as defined below) is incorporated by reference to Item 2.03 hereof and of the August 8-K (as defined below).&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<TABLE CELLPADDING="0" CELLSPACING="0" STYLE="font: 10pt Times New Roman, Times, Serif; margin-top: 0; margin-bottom: 6pt"><TR STYLE="vertical-align: top; text-align: justify">
<TD STYLE="width: 0in"></TD><TD STYLE="width: 1in; text-align: left"><B>Item 2.03</B></TD><TD STYLE="text-align: justify"><B>Creation of a Direct Financial Obligation&nbsp;or an
Obligation under an Off-Balance Sheet Arrangement of a Registrant.</B></TD>
</TR></TABLE>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">On October 19, 2011, CNS Response, Inc.
(the &ldquo;Company&rdquo;) entered into an Amended and Restated Note Purchase Agreement (the &ldquo;Bridge Financing Purchase
Agreement&rdquo;) in connection with a $2 million bridge financing (the &ldquo;Bridge Financing&rdquo;) with an accredited investor.&nbsp;&nbsp;Pursuant
to the agreement, the Company on October 19, 2012 issued a senior secured convertible promissory note (the &ldquo;October 2012
Bridge Note&rdquo;) in the aggregate principal amount of $200,000 to an accredited investor for gross proceeds to the Company of
$200,000. On October 25, 2011, the Company issued an additional October 2012 Bridge Note in the aggregate principal amount of $200,000
of common stock to another accredited investor for gross proceeds to the Company of $200,000.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">As previously disclosed, on August 17,
21 and 22, 2012 and on September 6, 2012, the Company issued five senior secured convertible promissory notes (the &ldquo;August
2012 Bridge Notes&rdquo; and together with the October 2012 Bridge Notes, the &ldquo;Bridge Notes&rdquo;) to four accredited investors
pursuant to a Note Purchase Agreement dated August 17, 2012 (the &ldquo;Original Bridge Financing Purchase Agreement&rdquo;) in
connection with the Bridge Financing. These five notes, together with the two notes dated October 19 and 25, 2011, bring the aggregate
principal amount raised in the Bridge Financing to $800,000.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">The Bridge Financing Purchase Agreement
amended and restated the Original Bridge Financing Purchase Agreement by extending the period for closing the sale of Bridge Notes
from October 15, 2012 to November 30, 2012. Additionally, the October 2012 Bridge Notes do not contain the mandatory conversion
provision (upon subsequent equity financing) included in the August 2012 Bridge Notes at the request of a prospective investor.
Otherwise the October 2012 Bridge Notes have substantially the same terms as the August 2012 Bridge Notes.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">The Bridge Financing Purchase Agreement
provides for the issuance and sale of Bridge Notes in the aggregate principal amount of up to $2,000,000, in one or multiple closings
to occur no later than November 30, 2012. The Bridge Financing Purchase Agreement also provided for the reissuance and replacement
of the five August 2012 Bridge Notes with the revised October 2012 Bridge Notes. The Bridge Financing Purchase Agreement also provides
that the Company and the holders of the Bridge Notes will enter into a registration rights agreement covering the registration
of the resale of the shares underlying the August 2012 Bridge Notes.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">The consummation of the Bridge Financing
and issuance of the Bridge Notes, and corresponding security interest, must be approved by the holders of a majority in aggregate
principal amount outstanding (&ldquo;Majority Holders&rdquo;) of each tranche of our secured convertible promissory notes issued
in October and November 2010 (the &ldquo;October 2010 Notes&rdquo;), secured convertible promissory notes issued between January
and April 2011 (the &ldquo;January 2011 Notes&rdquo;), secured convertible promissory notes issued between October 2011 and January
2012 (the &ldquo;October 2011 Notes&rdquo;) and an unsecured convertible promissory note issued in February 2012 (the &ldquo;February
2012 Note&rdquo;). If the Company does not obtain such consent, the holders could declare a default under such notes and seek all
remedies available under such notes. So far, the Company has received indications from the Majority Holders of each of the tranches
of notes that they would approve the Bridge Financing, issuance of the Bridge Notes, and corresponding security interest; however,
it is still negotiating the precise terms of the related approval and there can be no assurances that the Company will obtain such
approval. The October 2010 Notes and January 2011 Notes are repayable on October 1, 2012, the October 2011 Notes are repayable
beginning October 18, 2012, and the February 2012 Note is repayable on February 28, 2013, unless the Majority Holders agree to
extend such maturity. The Company currently does not have sufficient funds to repay these tranches of notes.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">The description of the terms of the August
2012 Bridge Notes, Original Bridge Financing Purchase Agreement and the second amended and restated security agreement, dated as
of August 16, 2012, between the Company and David Jones, as administrative agent for the secured parties (the &ldquo;Second Amended
and Restated Security Agreement&rdquo;) is incorporated herein by reference to Item 2.03 of the Company&rsquo;s Current Report
on Form 8-K filed on August 24, 2012 (the &ldquo;August 8-K&rdquo;), and is qualified in its entirety by reference to the forms
of the August 2012 Bridge Note, Original Bridge Financing Purchase Agreement, and Second Amended and Restated Security Agreement,
filed as Exhibits 4.1, 10.1 and 10.2, respectively, to the August 8-K, which are incorporated herein by reference. The Company
will include the Bridge Financing Purchase Agreement and the Form of October 2012 Bridge Note as exhibits to a future filing.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify">&nbsp;</P>

<TABLE CELLPADDING="0" CELLSPACING="0" STYLE="font: 10pt Times New Roman, Times, Serif; margin-top: 0; margin-bottom: 6pt"><TR STYLE="vertical-align: top; text-align: justify">
<TD STYLE="width: 0in"></TD><TD STYLE="width: 1in; text-align: left"><B>Item 3.02</B></TD><TD STYLE="text-align: justify"><B>Unregistered Sales of Equity Securities.</B></TD>
</TR></TABLE>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">The description of the October 2012 Bridge Notes is incorporated
herein by reference to Item 2.03 hereof and Item 2.03 of the August 8-K..</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">The description of the August 2012 Bridge Notes is incorporated
herein by reference to Item 2.03 of the August 8-K and the full text of the form of August 2012 Bridge Note is incorporated herein
by reference to Exhibit 4.1 to the August 8-K.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">The August 2012 Bridge Notes and October 2012 Bridge Notes were
issued by the Company under the exemption from registration afforded by Section 4(2) of the Securities Act of 1933, as amended,
and Regulation D promulgated thereunder, as they were issued to accredited investors, without a view to distribution, and were
not issued through any general solicitation or advertisement.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;&nbsp;</P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>&nbsp;</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>SIGNATURES</B></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-indent: 45pt">Pursuant to the Securities Exchange Act of
1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-indent: 45pt">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 100%; font: 10pt Times New Roman, Times, Serif; border-collapse: collapse">
<TR STYLE="vertical-align: top">
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD>
    <TD COLSPAN="2" STYLE="padding-right: 1.8pt">CNS Response, Inc.</TD>
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD>
    <TD COLSPAN="2" STYLE="padding-right: 1.8pt">&nbsp;</TD>
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 50%; padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="width: 3%; padding-right: 0.8pt">By:</TD>
    <TD STYLE="width: 35%; border-bottom: black 1.5pt solid; padding-right: 0.8pt">/s/ Paul Buck</TD>
    <TD STYLE="width: 12%; padding-right: 0.8pt">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="padding-right: 0.8pt">October 25, 2012</TD>
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="padding-right: 0.8pt">Paul Buck</TD>
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD>
    <TD STYLE="padding-right: 0.8pt; font-style: italic"><I>Chief Financial Officer</I></TD>
    <TD STYLE="padding-right: 0.8pt">&nbsp;</TD></TR>
</TABLE>
<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report  (Date of Earliest
Event Reported):
October 19, 2012
CNS RESPONSE, INC.
(Exact name of Company as specified in its
charter)
Delaware
0-26285
87-0419387
(State or other
(Commission File No.)
(I.R.S. Employer
jurisdiction of
Identification No.)
incorporation)
85 Enterprise, Suite 410
Aliso Viejo, CA 92656
(Address of principal executive offices)
(714) 545-3288
(Registrant's telephone number, including
area code)
Not Applicable
(Former name or former address, if changed
since last report)
Check the appropriate box below if the Form 8-K filing is intended
to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
¨
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
¨
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
¨
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
¨
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 1.01
Entry into a Material Definitive Agreement.
The description of the  Bridge Financing Purchase
Agreement (as defined below) is incorporated by reference to Item 2.03 hereof and of the August 8-K (as defined below).
Item 2.03
Creation of a Direct Financial Obligation or an
Obligation under an Off-Balance Sheet Arrangement of a Registrant.
On October 19, 2011, CNS Response, Inc.
(the "Company") entered into an Amended and Restated Note Purchase Agreement (the "Bridge Financing Purchase
Agreement") in connection with a $2 million bridge financing (the "Bridge Financing") with an accredited investor.  Pursuant
to the agreement, the Company on October 19, 2012 issued a senior secured convertible promissory note (the "October 2012
Bridge Note") in the aggregate principal amount of $200,000 to an accredited investor for gross proceeds to the Company of
$200,000. On October 25, 2011, the Company issued an additional October 2012 Bridge Note in the aggregate principal amount of $200,000
of common stock to another accredited investor for gross proceeds to the Company of $200,000.
As previously disclosed, on August 17,
21 and 22, 2012 and on September 6, 2012, the Company issued five senior secured convertible promissory notes (the "August
2012 Bridge Notes" and together with the October 2012 Bridge Notes, the "Bridge Notes") to four accredited investors
pursuant to a Note Purchase Agreement dated August 17, 2012 (the "Original Bridge Financing Purchase Agreement") in
connection with the Bridge Financing. These five notes, together with the two notes dated October 19 and 25, 2011, bring the aggregate
principal amount raised in the Bridge Financing to $800,000.
The Bridge Financing Purchase Agreement
amended and restated the Original Bridge Financing Purchase Agreement by extending the period for closing the sale of Bridge Notes
from October 15, 2012 to November 30, 2012. Additionally, the October 2012 Bridge Notes do not contain the mandatory conversion
provision (upon subsequent equity financing) included in the August 2012 Bridge Notes at the request of a prospective investor.
Otherwise the October 2012 Bridge Notes have substantially the same terms as the August 2012 Bridge Notes.
The Bridge Financing Purchase Agreement
provides for the issuance and sale of Bridge Notes in the aggregate principal amount of up to $2,000,000, in one or multiple closings
to occur no later than November 30, 2012. The Bridge Financing Purchase Agreement also provided for the reissuance and replacement
of the five August 2012 Bridge Notes with the revised October 2012 Bridge Notes. The Bridge Financing Purchase Agreement also provides
that the Company and the holders of the Bridge Notes will enter into a registration rights agreement covering the registration
of the resale of the shares underlying the August 2012 Bridge Notes.
The consummation of the Bridge Financing
and issuance of the Bridge Notes, and corresponding security interest, must be approved by the holders of a majority in aggregate
principal amount outstanding ("Majority Holders") of each tranche of our secured convertible promissory notes issued
in October and November 2010 (the "October 2010 Notes"), secured convertible promissory notes issued between January
and April 2011 (the "January 2011 Notes"), secured convertible promissory notes issued between October 2011 and January
2012 (the "October 2011 Notes") and an unsecured convertible promissory note issued in February 2012 (the "February
2012 Note"). If the Company does not obtain such consent, the holders could declare a default under such notes and seek all
remedies available under such notes. So far, the Company has received indications from the Majority Holders of each of the tranches
of notes that they would approve the Bridge Financing, issuance of the Bridge Notes, and corresponding security interest; however,
it is still negotiating the precise terms of the related approval and there can be no assurances that the Company will obtain such
approval. The October 2010 Notes and January 2011 Notes are repayable on October 1, 2012, the October 2011 Notes are repayable
beginning October 18, 2012, and the February 2012 Note is repayable on February 28, 2013, unless the Majority Holders agree to
extend such maturity. The Company currently does not have sufficient funds to repay these tranches of notes.
The description of the terms of the August
2012 Bridge Notes, Original Bridge Financing Purchase Agreement and the second amended and restated security agreement, dated as
of August 16, 2012, between the Company and David Jones, as administrative agent for the secured parties (the "Second Amended
and Restated Security Agreement") is incorporated herein by reference to Item 2.03 of the Company's Current Report
on Form 8-K filed on August 24, 2012 (the "August 8-K"), and is qualified in its entirety by reference to the forms
of the August 2012 Bridge Note, Original Bridge Financing Purchase Agreement, and Second Amended and Restated Security Agreement,
filed as Exhibits 4.1, 10.1 and 10.2, respectively, to the August 8-K, which are incorporated herein by reference. The Company
will include the Bridge Financing Purchase Agreement and the Form of October 2012 Bridge Note as exhibits to a future filing.
Item 3.02
Unregistered Sales of Equity Securities.
The description of the October 2012 Bridge Notes is incorporated
herein by reference to Item 2.03 hereof and Item 2.03 of the August 8-K..
The description of the August 2012 Bridge Notes is incorporated
herein by reference to Item 2.03 of the August 8-K and the full text of the form of August 2012 Bridge Note is incorporated herein
by reference to Exhibit 4.1 to the August 8-K.
The August 2012 Bridge Notes and October 2012 Bridge Notes were
issued by the Company under the exemption from registration afforded by Section 4(2) of the Securities Act of 1933, as amended,
and Regulation D promulgated thereunder, as they were issued to accredited investors, without a view to distribution, and were
not issued through any general solicitation or advertisement.
SIGNATURES
Pursuant to the Securities Exchange Act of
1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
CNS Response, Inc.
By:
/s/ Paul Buck
October 25, 2012
Paul Buck
Chief Financial Officer