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malaverdiere

I know a thing or two about anxiety, and it can make cpap issues into cpap problems. Sleep apnea and anxiety are a bad bad combo. If anxiety is generally an issue in your life, you’ll need to tackle it too. That means exercise, meditation and maybe medicine. Many universities will have free consultations with psychologists, and you can find out if yours had this offering. As for the leaking, this is where you need to have your reason tell your anxious side to shut up. Look at your OSCAR data. If your leak rate is below 24 and you don’t have high leak events, then the leaks you feel are not a problem. So, run your leak test before you sleep every night, and get that confirmation that your mask is set well. You can have a little mantra like “my mask fits well”. In short order, you won’t be bothered with some air going in your eyes. If the conditions above aren’t met, then that’s your battle. Sadly, that means expensive trial and error and a RT can shorten that to a degree.


ady333

I definitely want to seek help for general anxiety but specifically sleep anxiety - it just seems a bit hard to do when the trigger right now is an Ill fitting mask that I haven’t received support or much education in how to use. The air out flow isn’t the issue but the big leak into my eye due to lack of nose bridge that wakes me up bc it is so strong. Thankfully it isn’t so significant that it impacts my therapy (I don’t think) but it does wake me up without fail. I ultimately think I need to go through the very expensive trial and error process with an RT if they would only call me back. Money is an issue though since I’m a student and you all know how insurance/med billing is like. That adds onto the mental weight of needing cpap. Also my schools counseling sucks real ass because they have like one or two people for over 3000 people but I’m hoping I can find a sliding scale psych/therapist when I graduate. I appreciate your suggestions and listening to my vent


peelunkins

OP, read this http://adventures-in-hosehead-land.blogspot.com/p/taming-cpap-induced-insomnia-monster\_19.html


biggggant

I have hardly any nose bridge and the switch to nasal pillows has helped me a great deal with my comfort


ady333

I started with the p10 and really had an issue with how much it would slip out of my nose and start blowing the winds of hell into my face. Any suggestion for good nasal pillow that works for you?


biggggant

The p30i works great for me..sometimes I have to adjust it a few times but I don't get bad leaks.


PuzzledSprinkles467

Why do you use a CPAP if you've never seen a sleep doc? Maybe you don't need one or the settings are all wrong


malaverdiere

The doc can prescribe the cpap therapy, the tech makes it happen. You can try to wing it without the tech.


cugamer

> You can try to wing it without the tech. It's been my experience with sleep doctors and techs that "winging it" is what most of us end up having to do. I've never once received a follow up, or any real education in how to use the machine, customize my own treatment to increase effectiveness, ect. Sleep doctors really don't seem to care if anyone actually uses these machines. They are more than happy to complain about non-compliance but don't seem motivated to do a damn thing to improve it. In my opinion the sleep medicine specialty is about as worthless as chiropractic or faith healing, and I think it's important that as patients we accept that we really are on our own with these things.


ady333

This ): I also did not receive follow ups and my first sleep docs office didn’t even pick up my calls after my first visit.


RippingLegos

Same with me. I gave up on them years ago and self-titrate now.


malaverdiere

I’m saddened to hear that this has been your experience so far.


cugamer

Given that even the most optimistic studies indicate that at least 50% of users abandon CPAP shortly after starting, which if you know about what is called the "social desirability effect" in self reporting means that the numbers are probably much higher, this is the experience for the majority of people diagnosed with sleep apnea. What the sleep medicine industry keeps calling the "gold standard of care" is a lot closer to cheap brass. Their inability to do anything to improve those numbers, or come up with less cumbersome treatments, speaks volumes about the sleep medicine industries lack of real concern for this very important issue.


camomile2

I hear you.


TTigerLilyx

Thats my problem, mine needs adjusting. It blows so hard my sinuses instantly inflame & swell up so I cant breath. Any suggestions on turning it down some?


malaverdiere

There is a clinical menu that allows you to change your pressure. But that may not be the best thing to do. If you live in a dry climate, increase the humidity setting. “Auto” climate control is not always cutting it. A saline spray before going to bed can help too.


TTigerLilyx

No, none of my setting lower the …velocity?


malaverdiere

You must refer to the pressure. Maybe set a ramp to smoothen the transition. Have you discussed pressure with your physician?