Agitation in a loved one with Alzheimer’s can show up suddenly—and escalate fast. One moment they’re calm. The next? They’re pacing, yelling, or shutting down completely. What triggers it? And more importantly, how can you help?
Let’s break it down—simply and clearly—with real strategies that actually make a difference.
But first, here’s what you need to know…
Start With What You See, Not What You Think
Agitation doesn’t always come out of nowhere. In fact, there’s often a reason behind it. The trick is learning to spot it.
- Pacing near windows in the early evening? That could be sundowning. Try closing the curtains and switching on soft lighting before dusk.
- Rubbing their arm or shifting in their seat? Pain or discomfort might be the cause.
- Repeatedly asking about a deceased relative? Gently redirect with familiar music or a comforting photo album.
Each of these small signs gives you a clue—and a chance to help before things spiral.
Stay Calm… Even When It’s Hard
You might want to raise your voice. Or leave the room. Or cry. All of those reactions are normal—but they often make things worse for someone with Alzheimer’s.
Instead, lower your tone. Relax your shoulders. Give them space. Your calm presence can anchor their storm.
If you need a moment? Step away for 30 seconds. Take a deep breath. Then return, more centered and ready to help.
Use What Works—Not Just What Sounds Nice
You don’t need fancy techniques. You need real tools that work.
- Distraction: Ask for help folding towels or sorting cards. Repetitive tasks can soothe a restless mind.
- Comfort items: A familiar blanket or well-loved sweater can bring comfort in ways words can’t.
- Routine: Keep things consistent. Too many surprises can be overwhelming.
These are the things caregivers swear by—not just because they’re simple, but because they work.
Don’t Try to “Fix” the Moment
Trying to reason or explain usually backfires. Your loved one isn’t being difficult on purpose. Their brain is trying to make sense of a world that no longer feels familiar.
Instead of correcting, try redirecting. Shift the energy.
- “Let’s go get some fresh air.”
- “Can you help me with this puzzle?”
- “I made your favorite tea.”
These little pivots can steer agitation into calm—without a lecture or argument.
Watch for Patterns (They’re There)
Start keeping a short log. What time of day does the agitation hit? Is it after a nap? During meal prep? Around visitors?
You’ll start noticing patterns. And once you do? You can get ahead of it. That’s how real progress happens.
Published June 2024 • Updated August 2025
Reviewed by Debbie Marcello, Founder & CEO of Happier at Home
This content is for informational use only and does not replace medical advice.
