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Sundowning and Dementia: When the Evening Brings More Than Just Shadows Sundowning is one of the more challenging aspects of dementia care, bringing increased confusion, anxiety, or agitation in the late afternoon and evening. While it doesn’t always present in the classic way, many caregivers witness their loved ones becoming more disoriented or experiencing distressing episodes—such as the painful “imposter syndrome,” where they may not recognize familiar faces. Possible reasons for sundowning
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