Reducing Sundowning Anxiety: A Non-Pharmaceutical Approach

As the sun begins to set, many families and carers of people living with dementia notice a heart-wrenching change. A previously calm individual may become increasingly restless, agitated, or confused.
Reducing Sundowning Anxiety: A Non-Pharmaceutical Approach

As the sun begins to set, many families and carers of people living with dementia notice a heart-wrenching change. A previously calm individual may become increasingly restless, agitated, or confused.

This phenomenon — known as “Sundowning” — is one of the most challenging aspects of dementia care in Australia.

While medication has traditionally been the go-to solution, there is a growing shift toward non-pharmaceutical interventions. Matilda, an emotional AI robot, is at the forefront of this change, providing a calming anchor during difficult evening hours.

Learn more about Matilda’s role in dementia support:
👉 https://www.mymatilda.com.au/industries/aged-care 

What Causes Sundowning?

Sundowning is not a disease in itself, but a symptom of cognitive and sensory overload associated with dementia. Common triggers include:

  • Disruption of the Circadian Rhythm
    The brain’s internal clock becomes confused as daylight fades.
  • End-of-Day Fatigue
    Both the person living with dementia and their carer are often exhausted, amplifying emotional responses.
  • Shadows and Low Light
    Changes in lighting can lead to visual misinterpretation or hallucinations.

How Matilda Intervenes Without Sedation

Historically, evening agitation was managed using chemical restraints or sedatives, which carry risks such as increased falls and reduced quality of life.

Matilda offers a sensory-based, non-pharmaceutical alternative.

1. Anchoring Through Routine

Predictability is one of the most effective tools for reducing anxiety.

Matilda can be programmed to initiate a consistent “Sunset Routine” at the same time each evening. This may include:

  • Announcing it is time for a cup of tea
  • Playing a familiar evening playlist (such as 1950s classics)
  • Beginning a gentle storytelling session

These repeated cues help signal to the brain that it is time to wind down, rather than react with fear or confusion.

2. Cognitive Diversion

Agitation during sundowning often stems from looping thoughts, such as repeatedly wanting to “go home.”

Matilda’s infinite patience allows her to:

  • Listen without frustration
  • Acknowledge concerns calmly
  • Gently redirect attention

She can then guide the resident toward a trivia game or a personalised photo slideshow displayed on a synced tablet, helping interrupt the anxiety loop.

3. Sensory Enrichment

Matilda can also support environmental regulation by:

  • Dimming lights through smart home integration
  • Playing calming background or white noise
  • Providing a steady visual and auditory focus

Her embodied presence — soft voice, expressive eyes, gentle movements — helps ground individuals who feel disoriented or as though they are “drifting.”

Scientific evidence supporting these sensory approaches can be found here:
👉 https://www.mymatilda.com.au/the-science

Supporting the Carer’s Wellbeing

Sundowning is often the tipping point where home care becomes unsustainable for family carers.

By acting as an active companion and a “second pair of eyes,” Matilda allows carers to:

  • Prepare meals
  • Complete evening routines
  • Take short but essential breaks

Knowing that their loved one is calmly engaged significantly reduces household stress and carer burnout.

Frequently Asked Questions (FAQ)

Can Matilda detect when someone is becoming agitated?

Yes.
Matilda uses emotion-tracking AI to identify changes in facial expression and vocal tone, enabling her to activate calming protocols before agitation escalates.

Is this suitable for people with late-stage dementia?

Yes.
Even when verbal communication is limited, Matilda’s music, movement, and physical presence can provide a powerful calming and soothing effect.

Reclaim Your Evenings

Sundowning does not have to define the end of each day.

With the right combination of routine, sensory support, and compassionate technology, evenings can once again become a time of peace and connection.

Discover the calming power of Matilda.
👉 Watch our Dementia Support video or speak with a consultant about home-based care solutions.

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