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Normally around dusk People with sundowning dementia experience a heightened level of anxiety, distress or agitation at this time It can occur in people with different types of dementia, including Alzheimer'sThe Mayo Clinic defines "sundowning" as "a state of confusion occurring in the late afternoon and spanning into the night Sundowning can cause a variety of behaviors, such as confusionSundowning is a distressing symptom that affects people in mid to latestage Alzheimer's and other forms of dementia Also known by the term 'lateday confusion', it refers to the agitation and confusion often experienced by those with dementia towards the end of the day – hence the term 'sundowning' Sundowning A Guide To Difficult Behavior At The End Of The Day Sundowning meaning