11/02/2025
Time Change and Dementia: What Caregivers Need to Know
As we โfall backโ this weekend, the one-hour time change that most of us barely notice can profoundly impact people living with dementia. Hereโs what caregivers should know.
Why Itโs So Challenging
People with dementia rely heavily on consistent routines and external cues to navigate their day. Even a one-hour shift disrupts these critical anchors. Dementia also damages the brainโs internal clock, making adjustment much harderโsometimes taking weeks rather than days.
What You Might See
Sleep disruptions: Waking earlier, difficulty falling asleep, increased nighttime wandering
Earlier sundowning: With darkness falling sooner, agitation and confusion may begin earlier in the afternoon
Increased confusion: More questions about time, greater disorientation, resistance to usual routines
Behavioral changes: Irritability, mood swings, anxiety, or withdrawal
Strategies That Help
Start early: Gradually shift routines by 10-15 minutes over several days before the change
Maximize light: Open curtains wide during the day, turn lights on earlier in the afternoon to combat early darkness
Stay consistent: Keep meals and activities at the same intervals, the rhythm matters more than clock times
Be patient: Full adjustment may take weeks. Consider keeping the โoldโ schedule initially, then gradually transitioning
Stay calm: Your loved one picks up on your stress. Use gentle, simple reassurances
When to Seek Help
Contact your healthcare provider if you see severe sleep disturbances lasting beyond two weeks, significant increases in aggressive behaviors, marked decline in eating, or signs of depression.
Remember
These effects are usually temporary. The spring time change is often harder, so youโre building valuable experience. Youโre doing your best, and thatโs enough.
**Fellow caregivers:** What strategies have helped you through time changes? Share your experiences in the comments.
