A device and method of providing positive pressure support that employs a patient interface device (2, 102) having a mask (6, 106) and an adjustment arm (26, 126) coupled to the mask. The adjustment arm includes an extension member (28) extending from the mask. The mask engages the face of the patient and the adjustment arm is spaced from and not in engagement with the head of the patient. The method includes adjusting the pressure applied to the patient by the mask by adjusting a strapping force applied to the patient interface device without causing the adjustment arm to engage the head of the patient, as well as providing a flow of gas to the patient through the mask without causing the adjustment arm to engage the head of the patient.
