Managing CPAP Anxiety and Panic Attacks

Managing CPAP Anxiety and Panic Attacks

May 3, 2023 | |
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The CPAP Shop teamed up with Dr. Vidya Pai, an experienced sleep medicine specialist, to write this blog post. Our team of authors and medical experts frequently evaluates our blog posts so that readers can learn factual information and make knowledge-based decisions. Our blogs get constantly updated with the most accurate information to provide the most up-to-date facts and research.  

Panic attacks can be common among people who are first starting CPAP therapy. Recent neurological studies (2023) show that the brain's 'fear center' can misinterpret CPAP pressure as a breathing obstruction. In addition, people who suffer from panic attacks, in general, are more likely to have episodes while trying to fall asleep or while sleeping.

Having a CPAP mask covering your face is a new sensation that needs a small adjustment period. Since, in general, most users are not used to having something cover their face, it can understandably lead to feelings of suffocation. The reality is, though, that if you have sleep apnea and are not wearing a CPAP mask, your risk from suffocation is immeasurably greater.

What are CPAP Anxiety and CPAP Panic Attacks?

CPAP therapy can certainly induce anxiety and panic attacks, especially when first starting out. That’s because feelings of claustrophobia can also bring feelings of anxiety and panic. It’s important for sleep apnea patients to work towards feeling comfortable, and there are several steps that can help with that. Not only will routinely wearing it result in both positive physical and mental results, but there are other things that can be done to reduce feelings of anxiety and panic. 

How to Get Used to a CPAP Machine

There are many steps patients can take to get more comfortable using a CPAP machine, including:

  • Wear your CPAP mask during the day for short periods at a time to get more familiar with the feeling.
  • Slowly ease into using a CPAP machine every night. Instead of skipping nights, try wearing the mask for 20 minutes during the day while distracted by a book or movie to desensitize your nervous system.
  • Utilize features like AutoRamp and Expiratory Pressure Relief (EPR), which reduce the pressure when you exhale to prevent that 'fighting the machine' feeling.

How Long Does it Take to Get Used to CPAP?

Although it is different for everyone, getting used to CPAP therapy shouldn’t take longer than a month or so. Some people feel perfectly fine after one night of use, but others may need a few weeks to fully feel comfortable. By using helpful practices like the ones mentioned above, CPAP patients can easily feel more comfortable.

Can't Breathe with CPAP?

Claustrophobia

Claustrophobia is a very common feeling for those who are just starting out with CPAP therapy. When wearing a CPAP mask, the feeling against your face could cause discomfort since patients are unfamiliar with that. This could cause stress and anxiety, resulting in the feeling of not being able to breathe. 

Irregular CPAP Mask Fitting

CPAP masks come in many different styles and sizes, so it’s important to get one that best suits your needs. Having one that doesn’t properly fit can result in negative effects and not as effective therapy. 

Leaking CPAP Mask

Due to improper fit, a CPAP mask can leak and not provide the correct amount of pressurized air. Make sure the straps are adjusted to properly fit 

CPAP Masks Better For CPAP Anxiety and Panic Attacks

Opting to use a nasal or nasal pillow CPAP mask if you’re able is the best approach to avoid anxiety and panic attacks. That’s because they are smaller and more compact than traditional full face masks. They do not cover both the mouth and nose, so patients can feel freer during therapy. 

Where Can I Get The Best CPAP Masks and Machines?

The CPAP Shop offers hundreds of products, including top-quality CPAP masks and machines from brands like ResMed, Fisher & Paykel, and more. Check them out on our website today, and give us a call at 866-414-9700 if you have any questions or need assistance. 

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Dr. Vidya Pai, MD

Dr. Pai is an experienced sleep medicine doctor who completed a fellowship in Sleep Medicine at Harvard University and residency at Michigan State University. She has a passion for improving her patient's lives.