Hi @tim1028, Kudos to you if you've only been using the CPAP for a month and even though you are struggling now you are looking for ways to make it work. I've been using a CPAP machine since December 2018 and I still sometimes have one of those days but I think it was around the 1 year mark that I started getting a better nights sleep. I've always used some form of a full face mask that covered the nose and mouth or was up against the nose and covered the mouth. The first thing that I think really made a difference for making the mask feel a little more comfortable was recommended to my by my Mayo sleep medicine PA on a follow exam around the 4 month mark when I was really struggling. I was using a ResMed AirFit F20 at the time but was having trouble with it hurting the bridge of my nose. The PA recommended a cloth cover that fit over the mask and keep the silicone off of my nose and face. I got them at CPAP Comfort Cover: https://cpapcomfortcover.com/.

Since 2018 I've tried many different masks trying to get a more perfect one. I think the problem really is that everyone's face is a little different and sometimes it takes awhile to find a match that works for each of us. I think this is where a good sleep medicine PA or care team can help you if you can work with them. The ramp up feature is great and I used it a lot starting out. If I woke up with too much pressure, I could restart my CPAP and it would start at the lower pressure again so I could get back to sleep.

Another thing that helped me was a CPAP hose stand that I could put on the floor or under the mattress at the top of the bed. It would hold the hose above the head and keep it from getting in the way when I would roll over during the night.

You might find this discussion helpful to read what others have shared on their CPAP journey.
--- Cpap and getting better sleep: What's your experience?: https://connect.mayoclinic.org/discussion/cpap-and-sleep/.

Are you scheduled to have a follow up appointment with your sleep medicine doctor or care team? It would be a great time to make a list of questions to take with you to see if they might have some suggestions.