What Is Sundowning in Dementia Signs, Causes, and Helpful Tips for Caregivers

Have you noticed a loved one with dementia becoming more confused, anxious, restless, or agitated as evening approaches? This common symptom is known as sundowning.

Sundowning often occurs in the late afternoon or evening and may continue into the night. A person with dementia may pace, become irritable, feel fearful, or have trouble sleeping. While the exact cause is not fully understood, fatigue, low lighting, overstimulation, and disruptions to the body’s internal clock are believed to play a role.

The good news is there are ways caregivers can help reduce sundowning symptoms and create calmer evenings.

Helpful strategies include:
🌅 Keeping a consistent daily routine
💡 Turning on lights before sunset to reduce shadows
🎵 Using calming music or gentle activities
☕ Limiting caffeine and sugar later in the day
🏡 Creating a quiet, familiar, low-stress environment
❤️ Offering reassurance and comfort during periods of confusion

Caring for someone with dementia can be challenging, but understanding behaviors like sundowning can help caregivers respond with patience, compassion, and confidence.
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