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The anxiety is almost always every night at the same time 7pm and ends at 9pm.

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Google sundowning. Anxiety meds may be necessary. Has there been a check for a UTI?
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Southern20 Jul 2020
Sundowners happen to non-dementia and non-Alzheimer’s?
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Dear Southern20,
Are you caring for someone who is experiencing this and you don't think they have dementia? (as there are many types of dementias i.e. Alzheimer's, Vascular, Lewy Body etc.). Even though I personally haven't experienced Sundowner's Syndrome it did remind me of what happened to me about three - four years ago. I was experiencing a lot of anxiety which made me restless, agitated and I wanted to leave the house all the time. But in my case, I was anxious from dawn to dusk - for me it was due to an unpleasant neighborhood situation that had been going on for at least ten years. Finally, at it's worst point, I couldn't wait until nighttime when the neighborhood was calmer and it was everybody's bedtime. I just couldn't relax during the day and needless to say couldn't get anything done. I think you would need to expound a little more in what you want help with.
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https://www.agingcare.com/topics/19/sundowners-syndrome/articles

Ae you seeing any other changes to behaviour?
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I don't know if this is for a LO or yourself but I found this info;

It is believed that Sundowner’s Syndrome is caused by hormonal imbalances that occur in the evenings. Others theorise that the onset of symptoms in the evening hours is due to simple fatigue.

If yourself, maybe talk to your Doctor to rule out any hormonal issues. (Eg I think thyroid probs can cause anxiety?)

Maybe try to add some calm before the usual anxious time. Yoga, a walk, music, meditation? Or maybe a power nap earlier in the day may avoid some fatigue?
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Nurse instructed me to give Mom 10 mg of extended release Mekatonin, 2 hours prior to sundown, worked well, she has fTD, which causes hyperactivity most of the day. So she now receives
Melatonin at 11, 4, and 9,
what an amazing difference!
we purchase it at Sam’s Club.
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