10/19/2026
What Is Sundowning in Dementia?
Have you noticed that a loved one living with dementia becomes more confused, restless, or anxious later in the day?
This is sometimes referred to as sundowning, a term used to describe increased confusion or changes in behaviour that may occur in the late afternoon or evening.
What might sundowning look like?
• Increased confusion or disorientation
• Restlessness, pacing, or agitation
• Anxiety or irritability
• Difficulty settling down or sleeping
• Increased need for reassurance
What can help?
• Maintain a consistent routine: Regular times for meals, activities, and sleep can provide comfort and familiarity.
• Keep spaces well-lit: Adequate lighting in the late afternoon and evening may help reduce confusion caused by shadows.
• Encourage daytime activity: Gentle exercise and exposure to natural daylight may support healthier sleep patterns.
• Create a calming evening environment: Reduce noise, distractions, and overstimulation.
Learn more from the Alzheimer Society of Canada:
When someone becomes confused, anxious, upset, or restless consistently later in the day (usually late afternoon or early evening), try these ways of understanding and responding.