A patient interface system comprising: (a) a patient interface assembly comprising: a frame, a patient circuit connector disposed on a first side of the fame, a seal member disposed on a second side of the frame opposite the first side and adapted to seal against a surface of a user, and a coupling assembly extending from the frame such that the coupling assembly is separate from the patient circuit connector and is directed toward a forehead of a user responsive to the patient interface assembly being worn by such a user; and (b) a headgear assembly comprising: an elongated pad support, a headgear attachment element (78a, 78b) associated with the pad support, a headgear strap coupled to the headgear attachment element, an elongated headgear pad coupled to the pad support, wherein the pad support, the pad, or both the pad support and the pad are configured so as to extend from a forehead region of a user generally along a centerline of such a user and terminate proximate to a top of a head of such a user responsive to the patient interface assembly being worn by such a user, and a coupling assembly attachment assembly operatively coupled to the pad support and adapted to couple the coupling assembly of the patient interface device to the headgear assembly. (a) a patient interface assembly comprising: a frame, a patient circuit connector disposed on a first side of the fame, a seal member disposed on a second side of the frame opposite the first side and adapted to seal against a surface of a user, and a coupling assembly extending from the frame such that the coupling assembly is separate from the patient circuit connector and is directed toward a forehead of a user responsive to the patient interface assembly being worn by such a user; and a frame, a patient circuit connector disposed on a first side of the fame, a seal member disposed on a second side of the frame opposite the first side and adapted to seal against a surface of a user, and a coupling assembly extending from the frame such that the coupling assembly is separate from the patient circuit connector and is directed toward a forehead of a user responsive to the patient interface assembly being worn by such a user; and (b) a headgear assembly comprising: an elongated pad support, a headgear attachment element (78a, 78b) associated with the pad support, a headgear strap coupled to the headgear attachment element, an elongated headgear pad coupled to the pad support, wherein the pad support, the pad, or both the pad support and the pad are configured so as to extend from a forehead region of a user generally along a centerline of such a user and terminate proximate to a top of a head of such a user responsive to the patient interface assembly being worn by such a user, and a coupling assembly attachment assembly operatively coupled to the pad support and adapted to couple the coupling assembly of the patient interface device to the headgear assembly. an elongated pad support, a headgear attachment element (78a, 78b) associated with the pad support, a headgear strap coupled to the headgear attachment element, an elongated headgear pad coupled to the pad support, wherein the pad support, the pad, or both the pad support and the pad are configured so as to extend from a forehead region of a user generally along a centerline of such a user and terminate proximate to a top of a head of such a user responsive to the patient interface assembly being worn by such a user, and a coupling assembly attachment assembly operatively coupled to the pad support and adapted to couple the coupling assembly of the patient interface device to the headgear assembly.