06/16/2026
If evenings are the hardest part of your day, this is for you. 💜
One of the most common questions I hear from families caring for a loved one with dementia is:
“Why do they seem so different at night?”
What you’re seeing may be something called sundowning.
As the day comes to an end, many people living with dementia become more confused, anxious, restless, or agitated. A loved one who seemed calm earlier in the day may suddenly become upset, insist they need to “go home,” pace, repeat questions, or have difficulty settling down.
And if no one has explained what’s happening, it can be heartbreaking and exhausting.
Here’s what many families don’t realize:
As dementia progresses, it can affect the brain’s ability to regulate the body’s internal clock. Changes in light, fatigue, overstimulation, hunger, and the natural transition from day to evening can all contribute to increased confusion and distress.
Your loved one is not being difficult.
They are not doing this on purpose.
Their brain is working hard to make sense of a world that feels increasingly unfamiliar, and that can be frightening.
A few things that may help:
✔ Keep a consistent daily routine.
✔ Offer a light afternoon snack and encourage hydration.
✔ Reduce background noise and unnecessary stimulation later in the day.
✔ Turn on lamps before the house becomes dark to minimize shadows.
✔ Speak calmly and reassure more than you explain.
✔ Try not to argue or correct. Focus on comfort and connection.
And most importantly…
Give yourself grace.
Sundowning can be one of the most challenging parts of the dementia journey, and many caregivers feel overwhelmed by it. You are not alone.
If you’ve found something that helps your loved one during the evening hours, share it in the comments. Sometimes the best tips come from other caregivers who have walked the same path.
💜 Renee Altemoos, LPN
Family Guidance • Care Navigation • Dementia Support
Echoes of Home