Tips for Getting Used to CPAP Therapy What to Do When Your CPAP Mask Causes Anxiety
If you’re anxious about the mask, here are some practical tips to help get you started with CPAP therapy. Small changes to your routine and your equipment can make a real difference.
It may take some time to get used to using CPAP therapy. Having to wear a mask at night, feeling the airflow and altering normal sleep habits can be strange when first starting treatment. The first night can be simple for some. It may take longer for others. If you are having trouble getting used to CPAP, don’t worry if it’s hard the first night it may get better. It’s all about little changes to your routine and/or your mask or your equipment.
What Makes CPAP Uncomfortable?
There are a few new sensations when using CPAP in your normal bedtime routine. You must wear your mask, attach your tubing and inhale as your machine pushes the pressurised air into your system. The mask will feel against your face, you may hear the machine running or the airflow may feel strange. These feelings may be more prominent when you are thinking about them at night time.
💡 Don’t expect to get used to it right away. Take your time to get to know the CPAP. Gradual progress is more realistic than expecting every night to be perfect from the start.
Routine and the Start of the Day Are Key
Wearing the mask during the day is one easy approach to making the use of CPAP more comfortable. Place the mask on whilst seated in a comfortable position. You might take the time to read, watch TV or just relax for a couple of minutes. You don’t need to begin with a lengthy session the purpose is to get used to wearing the mask on your face. When you are comfortable with wearing the mask, attach it to your CPAP machine and practise breathing normally while it blows air. Slowly getting used to the time of use can aid in the feel of the unfamiliar equipment before using it overnight.
A gradual four-step approach is more effective than attempting full overnight use on the very first night. Each step builds familiarity with the mask and airflow before the next is introduced.
What If You’re Anxious When You Wear Your CPAP Mask?
Many new CPAP users are apprehensive when they first wear their mask. You may dislike the mask on your face, have concerns about the airflow or be unable to sleep comfortably with it on. When this happens, take things easy. Practise putting on the mask and then don’t go straight to the bedtime routine. Sit in a comfortable position focusing on regular breathing. After becoming more comfortable with the mask, add the airflow.
💬 If anxiety persists, speak to someone. If anxiety continues as an issue when using your CPAP, talk to your healthcare provider or CPAP supplier about it. Depending on your individual needs, a different design of mask or a better mask fit may help.
Practical Tips for Getting Comfortable
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Make Sure Your Mask Fits Correctly
Too tight and the mask may apply unnecessary pressure on the face. Too loose and air can seep in and out, making it difficult to sleep. If there’s a leak, don’t automatically tighten the straps — the mask may need repositioning. Inspect the fit before bed and follow the instructions provided with the mask.
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Practise Putting On and Taking Off Your Mask
Understanding the operation of your equipment can put you at ease. Practise putting the mask on and removing it before getting to sleep. Be aware of the function of the straps, clips and quick-release mechanisms. When you’re tired, you’ll spend less time figuring things out if you’re already familiar with them.
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Allow Time to Adjust to the Airflow
It may feel strange to experience forced air at first use. Aim to breathe as naturally as possible don’t deliberately increase or decrease your breathing. If the pressure consistently feels uncomfortable, don’t adjust settings yourself. Talk to a healthcare provider who can determine if adjustments are needed.
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Make a Simple Bedtime Routine
When you’re used to using a CPAP device, it can become routine like simply going to bed. Set up your machine, mask and tubing before bed each night. Ensure all connections are secure. Finding a consistent time to put your mask on may make it easier and reduce the preparation you need to think about.
If You Don’t Find Your Mask Comfortable, Try a Different One
Not having a mask that is hard to breathe with is not the only criterion for choosing one. Mask design, fit and the amount of facial contact can all affect comfort. If your current mask is difficult to tolerate, there are alternatives worth exploring.
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Masks Worth Considering for Comfort
Three ResMed options for different comfort priorities
✓ Compact full face maskCushion away from nose bridgeLess material over the face
The ResMed AirFit F40 is a compact full-face mask which could be advantageous for a person who experiences discomfort with a larger mask. It features a design that helps to keep the cushion away from the face around the nose and mouth, with less material over the face overall.
✓ Memory foam cushionAlternative to siliconeMay reduce pressure marks
The ResMed AirTouch F20 is available with a memory-foam cushion, instead of the typical silicone cushion. If you are more concerned about the pressure on your face or the sensation of a silicone cushion, this factor can be helpful to keep in mind.
✓ Tube-up designFabric-wrapped frame and cushionNasal design nose coverage only
If you’re looking for a nasal design, the ResMed AirTouch N30i features a tube-up design and a fabric-wrapped frame and cushion. This is a nasal mask option for those who find a nasal approach more comfortable than full-face coverage.
A Note on Choosing
Comfort is personalDiscuss with your provider first
It’s a matter of your treatment needs, facial structure, breathing patterns and comfort level. Discuss any questions or concerns with your healthcare professional or CPAP provider about which mask will work best for you.
Handling Common CPAP Comfort Problems
Sometimes, it’s not the CPAP itself that is the problem. There may be a minor equipment or comfort issue that is making the experience more difficult.
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Mask Leaks
Leaks may occur due to incorrect fit, movement during sleep or worn parts of the mask. Before tightening the straps, make sure the mask is correctly positioned. Tightening alone does not always solve a leak.
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Dry Mouth or Nose
CPAP treatment may cause dryness, especially in the first few weeks. Humidification may help, depending on your equipment and individual circumstances. If you regularly experience nasal problems or significant dryness, speak to your healthcare professional.
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Pressure Marks
Some marks can occur after wearing a mask for several hours, but a mask should not be painful. If you are experiencing significant pressure or discomfort, check the fit rather than simply tightening the straps.
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Removing the Mask During Sleep
If you regularly wake up without your mask on, think about what may be causing the problem. Leaks, dryness, discomfort, pressure or anxiety could all make it harder to keep the mask on. If you cannot identify the cause, ask your CPAP supplier or healthcare professional for advice.
What If You Keep Struggling With CPAP?
If you have been trying CPAP but still cannot get comfortable, look at the specific problem rather than assuming the entire treatment is unsuitable. Identifying the problem can make it easier to find a practical solution. In some cases, the issue may be related to mask fit or mask choice. In others, your healthcare professional may need to review your therapy.
Is the mask uncomfortable?
Are you experiencing leaks?
Does the airflow feel unusual?
Are you waking with a dry mouth or nose?
Are you feeling anxious when the mask is fitted?
Are you removing the mask during sleep?
Are you struggling with the equipment itself?
Don’t assume the entire treatment is unsuitable if one aspect is difficult. Identifying the specific problem mask fit, dryness, leaks or anxiety is the first step to a practical fix. Seeking advice early prevents a comfort issue becoming a reason to stop using your treatment.
How Long Does It Take to Get Used to CPAP?
There is no fixed CPAP adjustment period that applies to everyone. Some people become comfortable with their equipment relatively quickly, while others need more time. Try to focus on gradual progress rather than expecting every night to be perfect. If one night does not go well, think about what caused the problem and whether there is something you can change before the next session. Getting used to CPAP is a process, and small improvements can make the routine easier over time.
When Should You Ask for Help?
⚠️Speak to Your Healthcare Professional or CPAP Supplier If…
You cannot tolerate your mask
You regularly remove the mask during sleep
You are experiencing persistent leaks
Your mask causes significant discomfort
You are struggling with dryness
Anxiety is preventing you from using your prescribed therapy
The airflow consistently feels uncomfortable
You are considering changing your prescribed pressure settings
⚠ Do not change prescribed pressure settings or stop CPAP treatment without professional advice. Getting advice early can help prevent a comfort issue from becoming a reason to stop using your treatment.
Start by becoming familiar with your mask while you are awake. Wear it for short periods while reading or relaxing, then introduce the airflow once you feel comfortable.
How long does it take to get used to CPAP?
It varies from person to person. Some people adjust relatively quickly, while others need several weeks to establish a comfortable routine.
What should I do if my CPAP mask makes me anxious?
Start slowly and practise wearing the mask while awake. If the mask continues to cause significant anxiety, speak to your healthcare professional or CPAP supplier about the problem and whether another suitable mask could be considered.
Can changing my CPAP mask make it easier to use CPAP?
It may. Mask design, fit and the amount of facial contact can affect comfort. If your current mask is difficult to tolerate, ask your CPAP supplier or healthcare professional about suitable alternatives.
Why does my CPAP mask feel uncomfortable?
The mask may not be fitted correctly, or you may need a different size or design. Leaks, pressure marks and dryness can also contribute to discomfort.
Should I wear my CPAP mask while awake?
Wearing your mask for short periods while awake can help you become familiar with it. Follow the treatment instructions provided by your healthcare professional.
What should I do if I keep taking my CPAP mask off at night?
Check whether discomfort, leaks, dryness or anxiety could be causing the problem. If you continue removing your mask during sleep, speak to your healthcare professional or CPAP supplier.
Can I change my CPAP pressure if it feels uncomfortable?
Do not change prescribed pressure settings yourself. If the pressure feels uncomfortable or is making CPAP difficult to use, speak to your healthcare professional.
⚠ Medical Disclaimer This article is for general information only and is not intended to replace medical advice, diagnosis or treatment from a qualified healthcare professional. If you are having difficulty using CPAP, experiencing significant anxiety or have concerns about your treatment, speak to your GP, sleep specialist or healthcare team. Do not stop CPAP therapy or change prescribed pressure settings without professional advice.
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