I need help

Hello, I'm a 29 year old male with several mental issues I've had for years (depression and GAD-Generalized Anxiety Disorder). I was always skinny growing up and never been an overweight guy. Worked out etc. I was diagnosed with sleep apnea about 2 years ago after I requested a sleep study. I always had symptoms of extreme fatigue, low energy, moody as I'll get out etc especially in the mornings, which is why I requested. They billed me for a CPAP and full face mask. However, the clinic didn't let me choose. They basically did after a mask fitting. I wore it for weeks but either took it off in my sleep or never felt better. Well fast forward to now, my quality of life is completely suffering. I even have low testosterone. I switched to a actually hospital clinic with a certified NP. She noticed, which I've tried telling doctors, I have a jaw line that falls back towards my neck. Especially when I lay down. She's gonna change the titration setting and I'll wear the mask again for 6 weeks. If this doesn't help, I don't know what else to do besides surgeries. I've tried oral appliances, and mouth guards. Please help with anyone with related jaw alignment condition.

I would ask the NP why you were not referred to a specialist who deals with the jaw alignment issue. If this is the case, trying to fix sleep problems without taking care of this seems like it won't get far.

A properly conducted sleep study should reveal if you have OSA and if CPAP is of benefit. A good doctor should be able to clearly explain all of this. Beyond that, the exact choice of mask and a few other variable can have a big impact. What data is your NP basing your new pressure on? Is she just making it up? There's a good reason why this should be done by a trained technician while you are sleeping at a lab - so you can be sure it works.

Be cautious about surgeries. There are surgeries to realign the jaw used in treating OSA but they are pretty hideous and generally don't work.

When I had my titration study, the lab provided the masks. However, after I got my prescription, I went to a supply place not the clinic for my machine and mask. The first mask I got did not work for me. I tried for 3 weeks and couldn't do it. I switched masks to one that just sits under my nose (DreamWear) and I am doing much better now. The mask is very important and you should be offered different choices. Good luck.