Sundowning: evening restlessness in dementia
Why some people become restless or confused later in the day, and gentle ways to ease it.
“Sundowning” describes increased confusion, restlessness, or agitation in the late afternoon and evening. A calmer environment often helps.
Common triggers
- Tiredness and low energy late in the day.
- Fading light and more shadows.
- Hunger, thirst, or discomfort.
Ease the evening
- Keep rooms well lit as daylight fades.
- Wind down with calm, familiar activities.
- Limit caffeine and big meals late on.
Build a soothing routine
- Keep a predictable evening rhythm.
- Play familiar, gentle music.
- Reduce noise and busy activity.
If distress rises
- Reassure calmly rather than reasoning.
- Check for pain, hunger, or needing the toilet.
- Mention persistent patterns to the care team.
How this site helps
You don’t have to do everything at once. Pick one small idea from above and try it this week.
- Turn a goal into a daily habit with Practice.
- See the evidence behind these ideas in Research.
- Practise the underlying skill with a calm game.
Remember: this is general education, not medical advice. Your clinician knows your situation best.