What Time of Day Is Alzheimer’s Worse?

Alzheimer’s symptoms can fluctuate throughout the day, but many people experience increased confusion and agitation in the late afternoon and evening - a phenomenon known as sundowning. At Discern, we provide science-backed cognitive testing to help individuals and caregivers better understand and manage Alzheimer’s progression. Recognizing when symptoms are at their worst can help families create more effective care routines.

Understanding Sundowning: Why Symptoms Get Worse in the Evening

Sundowning refers to the increased restlessness, confusion, and irritability that often occur in Alzheimer’s patients as daylight fades. This can be due to factors like disrupted circadian rhythms, fatigue, or sensory overload from the day.

Common Symptoms of Sundowning

• Increased confusion and anxiety
• Restlessness or pacing
• Difficulty recognizing surroundings
• Mood swings or agitation
• Trouble sleeping or staying asleep

How to Reduce Evening Confusion

While sundowning can’t always be prevented, there are ways to manage it effectively:

• Keep a consistent routine: Structure helps reduce anxiety.
• Optimize lighting: A well-lit space can minimize confusion.
• Encourage physical activity during the day: This helps regulate sleep patterns.
• Limit stimulants: Reduce caffeine and screen time in the evening.
• Create a calming environment: Soft music and familiar objects can provide comfort.

The Importance of Early Detection

Understanding how and when Alzheimer’s symptoms worsen is key to managing care. Discern offers cognitive testing solutions that help detect Alzheimer’s early, allowing families to plan ahead and improve quality of life.

Want to learn more about Alzheimer’s care and early detection? Visit Discern for expert insights and testing solutions!