Some patients struggle with how to navigate CPAP in their dating lives or marriages, reports Vice.

Paul Hokemeyer, a family therapist in New York City, says that the best way to mitigate feelings of shame or awkwardness is to take charge of the situation and be completely up front about it. “You don’t have a machine because you needed another expensive accessory, you need it because you can’t breathe at night. It’s a physiological condition, not an issue of a personal weakness,” he says.