Sundowning is a symptom that occurs in people with Alzheimer’s disease. It usually starts around dusk and lasts until dawn. The cause isn’t known, but it may be related to changes in circadian rhythms. Our Clinical Counsellor Christine Dobbelsteyn has put together a few FAQ’s regarding Sundowning and how you can support loved ones suffering from this symptom.

What Is Sundowning?

Sundowning is one of the symptoms of Alzheimer’s disease, a progressive brain disorder that affects memory and thinking skills. It happens when a person has trouble sleeping at night because they are agitated by the light coming through the windows. This makes the person feel restless and confused.

Why Does it Happen?

There are several reasons why people with Alzheimer’s might experience sundowning. One reason is that the brain changes associated with Alzheimer’s make it harder for them to sleep. Another reason is that some medications used to treat Alzheimer’s can cause insomnia. One of the other common theories is that as late afternoon and evening approaches, the natural light decreases and leads to shadows and misinterpretation of the environment. This comes at a time when the person living with dementia is likely tired due to early daytime activities and therefore decreases their ability to cope with stress.

How Can You Help Someone Who Has Sundowning?

There are several things you can do to help support someone who is experiencing Sundowning:

• Increase lighting in the environment they are living in (especially the room they tend to be in late afternoon)

• Consider the use of a SAD lamp

• Have physical activity planned for them at this time of the day or an activity that they find enjoyable

• Keep a routine

• Consider the use of melatonin at night time to help regulate circadian rhythms.

Does everyone with Alzheimer’s or Dementia experience Sundowning?

Not everyone who lives with Dementia experiences sundowning. There are other BPSD - Behaviour Psychological Symptoms of Dementia they may experience instead.

Are there certain things that make Sundowing worse?

Yes! Dark environments, including having blinds or curtains closed. Having caffeinated drinks and high-sugar foods in the afternoon. Having no physical or meaningful activities late in the day (boredom). Napping during the day can also make symptoms worse.

When should I see a doctor or another medical specialist about my care recipient’s Sundowing?

If the person living with Dementia becomes verbally and physically aggressive or is trying to leave their home or environment in an unsafe manner and no other strategies have helped.

Are there any caregiving supplies and/or products that can help provide peace of mind?

Providing comfort items such as a favourite sweater, blanket, pillow, memory book (photo album, scrapbook), snuggling with a pet, tv show, relaxing music and favourite music. Use of essential oils like lavender, rose and chamomile along with a hand massage are all great ideas!

Our mobile and Virtual Clinical Counsellors are trained to help you care for Dementia & Alzheimer’s clients. Call 604-828-2610 to book your free initial phone consult today, or click the button below to inquire via our website. We currently see clients for therapy in Vancouver, Burnaby, the North Shore, Delta & Surrey!