{"formatVersion":"1.1","id":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much","path":"/library/why-dementia-patients-sleep-so-much","url":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much","title":"Excessive Sleep and Dementia","family":"Library detail","description":"Explore how dementia affects sleep patterns, what excessive sleep may signal, and how to respond with informed, compassionate care.","language":"en-US","access":{"audience":"public","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much","wordpressId":"486","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://www.mentalhealth.com/people/areesha-hosmer#person","name":"Areesha Hosmer","url":"https://www.mentalhealth.com/people/areesha-hosmer"}],"reviewer":{"@type":"Person","@id":"https://www.mentalhealth.com/people/holly-schiff#person","name":"Holly Schiff, Psy.D.","url":"https://www.mentalhealth.com/people/holly-schiff"},"dates":{"datePublished":"2025-06-08T08:16:55Z","dateModified":"2026-05-12T10:34:05Z","lastReviewed":"2025-06-08"},"content":{"html":"<nav aria-label=\"Breadcrumb\" class=\"breadcrumbs\"><ol><li><a href=\"https://www.mentalhealth.com/\">Home</a></li><li><a href=\"https://www.mentalhealth.com/library\">Library</a></li><li><a href=\"https://www.mentalhealth.com/library/medical-conditions\">Medical Conditions</a></li><li><span aria-current=\"page\">Excessive Sleep and Dementia</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard=\"\"><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>Excessive Sleep and Dementia</h1><p class=\"article-inline-credits\"><span>Written by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/areesha-hosmer\"><img alt=\"\" height=\"22\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/98c7479dd0c3deaf63c6a3e7.jpg\" width=\"22\" decoding=\"async\">Areesha Hosmer</a></span><span>Medically reviewed by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/holly-schiff\"><img alt=\"\" height=\"22\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/af4ecdb78008ac81cd3aa271.jpg\" width=\"22\" decoding=\"async\">Holly Schiff, Psy.D.</a></span></p><div class=\"article-dates\"><span>Published on <time datetime=\"2025-06-08T08:16:55Z\">June 8, 2025</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2026-05-12T10:34:05Z\">May 12, 2026</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p><a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/dementia\">Dementia</a> is a progressive neurological condition that affects memory, thinking, and the ability to perform daily tasks. As this condition affects the brain, it can also disrupt normal sleep patterns, leading some people to sleep far more than usual.</p><p>While this can be distressing for caregivers, excessive sleep often reflects changes in brain function rather than laziness or withdrawal. Understanding how and why dementia alters sleep can help families and caregivers respond with informed care and greater confidence.</p></div><figure class=\"article-feature\"><img alt=\"An older adult stretches while seated beside a bright window.\" decoding=\"async\" height=\"800\" loading=\"eager\" src=\"https://www.mentalhealth.com/assets/optimized/008174019eeb5649845dded8.webp\" width=\"1200\" srcset=\"/assets/responsive/e19d2cf5a1593bfcbec164df.webp 800w, /assets/optimized/008174019eeb5649845dded8.webp 1200w\" sizes=\"(max-width: 800px) 100vw, 1200px\"></figure><section aria-labelledby=\"key-takeaways\" class=\"article-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>Dementia can disrupt sleep patterns and lead to more daytime sleeping or fragmented nighttime rest.</li><li>Increased sleep may reflect disease progression or other changes that warrant attention to mood, behavior, and health.</li><li>Consistent routines, daylight exposure, and individualized caregiving can help support sleep and comfort.</li></ul></section><h2 id=\"understanding-dementia\">Understanding Dementia</h2><p>Dementia refers to a group of progressive neurological disorders that impair memory, thinking, behavior, and the ability to carry out daily activities. It is more common in older adults and can significantly affect quality of life. <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/alzheimers-disease\">Alzheimer’s disease</a> is the most frequently diagnosed type, though <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/common-dementia-questions\">vascular dementia</a>, Lewy body dementia, and frontotemporal dementia are also common⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#dementia\" data-reference-link=\"\" aria-label=\"Reference 1: World Health Organization. (2023). Dementia. World Health Organization. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>.</p><p>In the early stages, dementia symptoms may appear subtle. A person may begin to lose track of time or misplace everyday items. Changes in mood or behavior can also emerge early, often before memory problems are noticeable.</p><p>Common early signs of dementia include⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#dementia\" data-reference-link=\"\" aria-label=\"Reference 1: World Health Organization. (2023). Dementia. World Health Organization. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a></sup>:</p><ul class=\"wp-block-list\">\n<li>Forgetting recent events</li>\n<li>Getting lost in familiar places</li>\n<li>Difficulty solving problems</li>\n<li>Trouble following conversations</li>\n<li>Withdrawing from social activities</li>\n</ul><p>It’s also important to recognize the line between normal aging and dementia. Many older adults experience mild changes in memory and thinking as they age, such as occasional forgetfulness, slower recall, or needing more time to learn new things. </p><p>In contrast, dementia involves progressive cognitive decline that disrupts daily routines and communication, along with continually worsening symptoms⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#memory-problems-forgetfulness-aging\" data-reference-link=\"\" aria-label=\"Reference 2: National Institute on Aging. (2022). Memory problems, forgetfulness, and aging. National Institute on Aging. Accessed October 10 2026.\" data-reference-number=\"2\">[2]</a></sup>. </p><p>Over time, dementia can affect more than just memory and cognition. Physical changes often emerge, including problems with coordination, mobility, and a person’s speech. </p><p>Sleep disturbances are also common, ranging from frequent nighttime awakenings to prolonged periods of daytime sleep. These shifts reflect underlying changes in brain function that regulate behavior and bodily rhythms.</p><h2 id=\"the-link-between-dementia-and-sleep\">The Link Between Dementia and Sleep</h2><p>Sleep changes are common in dementia and tend to become more noticeable as the condition progresses. While most older adults need seven to nine hours of sleep each night, people with dementia may sleep as much as 13 to 15 hours over a 24-hour period. This often includes long naps during the day and disrupted rest at night⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#why-do-dementia-patients-sleep-so-much\" data-reference-link=\"\" aria-label=\"Reference 3: AgingCare. (2022). Why do dementia patients sleep so much? agingcare.com. Accessed October 10 2026.\" data-reference-number=\"3\">[3]</a></sup>.</p><p>The brain’s declining ability to regulate sleep-wake cycles can lead to confusion about time. It can also cause increased nighttime activity. Some people wake in the early hours believing it is morning, while others may wander at night and feel exhausted during the day. </p><p>Even small daily tasks can become mentally draining in dementia, leading to fatigue and frequent dozing.</p><p>Several sleep disturbances are especially common in dementia and may affect both routine and safety, including⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#why-do-dementia-patients-sleep-so-much\" data-reference-link=\"\" aria-label=\"Reference 3: AgingCare. (2022). Why do dementia patients sleep so much? agingcare.com. Accessed October 10 2026.\" data-reference-number=\"3\">[3]</a></sup>:</p><ul class=\"wp-block-list\">\n<li>Excessive daytime sleeping</li>\n<li>Difficulty falling or staying asleep</li>\n<li>Sleep apnea or irregular breathing</li>\n<li>Sundowning, marked by agitation or confusion in the evening</li>\n<li>Physical discomfort, such as restless leg syndrome</li>\n<li>Reversed sleep cycles, in which one is awake at night and asleep during the day</li>\n</ul><p>Although a person may appear to sleep often, they may not reach deep or restful stages of sleep. Poor quality sleep can worsen memory, mood, and focus. It may also increase the risk of falls or other behavioral changes. </p><p>These sleep changes can vary depending on the type of dementia a person has. Understanding how different forms of dementia affect sleep can help caregivers and loved ones anticipate possible issues and provide better support.</p><section aria-label=\"Subject matter expert\" class=\"article-expert article-expert-inline\" data-expert-kind=\"related\" data-expert-layout=\"standard\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><a href=\"https://www.mentalhealth.com/people/natalie-staats-reiss\" class=\"card-identity-photo\" aria-label=\"Natalie Staats Reiss  Ph.D.\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/f740e834778e6cf83ef499f0.jpg\" width=\"64\" decoding=\"async\"></a><h2><a href=\"https://www.mentalhealth.com/people/natalie-staats-reiss\">Natalie Staats Reiss <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Older adults and caregivers</p></section><h2 id=\"how-different-types-of-dementia-affect-sleep\">How Different Types of Dementia Affect Sleep</h2><p>Sleep changes are common across all types of dementia, but the pattern and severity can vary depending on the specific diagnosis and stage of progression.</p><p>In Alzheimer’s disease, a type of dementia that affects <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/symptoms-effects-of-dementia\">memory and thinking</a>, disrupted sleep often begins in the middle stages of the condition. People may sleep more during the day and have difficulty staying asleep at night. As the condition progresses, extended periods of sleep become more common, and the ability to distinguish day from night may fade⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#stages-alzheimers-disease\" data-reference-link=\"\" aria-label=\"Reference 4: Alzheimer’s Association. (2024). Stages of Alzheimer’s disease. Alzheimer’s Association. Accessed October 10 2026.\" data-reference-number=\"4\">[4]</a></sup>.</p><p>In frontotemporal dementia, a form of dementia that affects behavior and personality, sleep problems typically don’t occur in the early stages. However, as time goes on, issues such as fragmented sleep or increased fatigue may occur⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#stages-alzheimers-disease\" data-reference-link=\"\" aria-label=\"Reference 4: Alzheimer’s Association. (2024). Stages of Alzheimer’s disease. Alzheimer’s Association. Accessed October 10 2026.\" data-reference-number=\"4\">[4]</a></sup>.</p><p>Lewy body dementia, which is associated with abnormal deposits in the brain, often involves vivid dreams, nighttime confusion, and physically acting out one’s dreams. These sleep disruptions are often linked to changes in brain chemistry. <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/paranoia-and-delusions-in-dementia-patients\">Hallucinations and delusions</a>, common in Lewy body dementia, can make restful sleep even more elusive⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#it-typical-people-dementia-sleep-lot-during-day\" data-reference-link=\"\" aria-label=\"Reference 5: Alzheimer’s Society. (2021). Is it typical for people with dementia to sleep a lot during the day? alzheimers.org.uk. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>.</p><p>Vascular dementia, which occurs due to reduced blood flow to the brain, can contribute to sleep difficulties when areas of the brain that are responsible for sleep regulation are affected. These problems may become more noticeable when vascular dementia occurs alongside other forms, such as Alzheimer’s disease⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#it-typical-people-dementia-sleep-lot-during-day\" data-reference-link=\"\" aria-label=\"Reference 5: Alzheimer’s Society. (2021). Is it typical for people with dementia to sleep a lot during the day? alzheimers.org.uk. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>. </p><p>Understanding how different types of dementia affect sleep can help caregivers respond more effectively; tailoring care to these patterns may ease distress and support a more stable daily routine⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#it-typical-people-dementia-sleep-lot-during-day\" data-reference-link=\"\" aria-label=\"Reference 5: Alzheimer’s Society. (2021). Is it typical for people with dementia to sleep a lot during the day? alzheimers.org.uk. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>.</p><h2 id=\"psychological-symptoms-and-disease-progression\">Psychological Symptoms and Disease Progression</h2><p>While increased sleep is common in later stages of dementia, it may sometimes signal more than the condition’s natural progression. In particular, when prolonged sleep is accompanied by changes in mood and behavior, it may reflect underlying behavioral or psychological symptoms.</p><p><a class=\"article-inline-link\" href=\"https://www.ncbi.nlm.nih.gov/books/NBK551552/?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-why-dementia-patients-sleep-so-much&amp;utm_source=mentalhealth.com\" target=\"_blank\" data-link-follow=\"true\" rel=\"noopener noreferrer\">Behavioral and Psychological Symptoms of Dementia (BPSD)</a> include a wide range of non-cognitive changes such as depression, apathy, hallucinations, and sleep disturbances. These symptoms affect a significant number of people with dementia and can contribute to reduced activity and increased daytime drowsiness. </p><p>Although excessive sleep is not always classified directly under BPSD, it may appear alongside symptoms like emotional withdrawal or fatigue, especially when mental health concerns such as <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/depression\">depression</a> are also present⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#behavioral-psychological-symptoms-dementia\" data-reference-link=\"\" aria-label=\"Reference 6: Cloak, N., Schoo, C., &amp; Al Khalili, Y. (2024, February 27). Behavioral and psychological symptoms in dementia. In StatPearls. StatPearls Publishing. National Library of Medicine. Accessed June 2 2025.\" data-reference-number=\"6\">[6]</a></sup>.</p><p>In some cases, these patterns may be worsened by factors such as pain, infection, or side effects from medication. Clinical assessments can help identify whether additional medical or <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/psychiatry\">psychiatric support</a> is needed for excessive sleep in a dementia patient⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#behavioral-psychological-symptoms-dementia\" data-reference-link=\"\" aria-label=\"Reference 6: Cloak, N., Schoo, C., &amp; Al Khalili, Y. (2024, February 27). Behavioral and psychological symptoms in dementia. In StatPearls. StatPearls Publishing. National Library of Medicine. Accessed June 2 2025.\" data-reference-number=\"6\">[6]</a></sup>. </p><p>Even when symptoms cannot be reversed, understanding their origin allows caregivers to better anticipate changes and respond with clarity and reassurance.</p><h3 id=\"disease-progression-and-decline\">Disease Progression and Decline</h3><p>Sometimes, a noticeable increase in sleep can be part of the <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/signs-death-is-near-in-dementia-patients\">later stages of dementia</a>, indicating that the condition has progressed. This may occur alongside reduced responsiveness, limited speech, difficulty swallowing, incontinence, or becoming bed-bound and physically frail⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#recognising-when-someone-reaching-end-life\" data-reference-link=\"\" aria-label=\"Reference 7: Alzheimer’s Society. (2024). Recognising when someone is reaching the end of their life. alzheimers.org.uk. Accessed October 10 2026.\" data-reference-number=\"7\">[7]</a></sup>. </p><p>Recognizing these signs can help families understand the difference between typical progression, associated mental health concerns, and changes that may require additional support. As the need for sleep increases, thoughtful and responsive care can still play an important role in preserving comfort and quality of life.</p><h2 id=\"caring-for-sleep-changes-in-dementia\">Caring for Sleep Changes in Dementia</h2><p><a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/tips-for-dealing-with-specific-dementia-behaviors\">Caring for a loved one with dementia</a> can be difficult, but there are strategies that can help. Establishing a consistent daily routine with regular times for waking, eating, and incorporating light activities can help support the body’s natural rhythms in dementia patients⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#why-do-dementia-patients-sleep-so-much\" data-reference-link=\"\" aria-label=\"Reference 3: AgingCare. (2022). Why do dementia patients sleep so much? agingcare.com. Accessed October 10 2026.\" data-reference-number=\"3\">[3]</a></sup>. </p><p>Encouraging time outdoors or sitting near a sunny window during the day may also improve the body’s sleep-wake cycles by helping regulate levels of the hormone melatonin.</p><p>Gentle activities such as short walks, listening to familiar music, or having a calm conversation can help reduce long naps and encourage engagement during the day. These moments should be adapted to the person’s energy, as even light activity can be tiring with dementia⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#it-typical-people-dementia-sleep-lot-during-day\" data-reference-link=\"\" aria-label=\"Reference 5: Alzheimer’s Society. (2021). Is it typical for people with dementia to sleep a lot during the day? alzheimers.org.uk. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>. </p><p>Creating a quiet and calming evening environment by dimming lights, lowering noise, and limiting stimulation can also support more restful sleep. If daytime naps are needed, keeping them brief and scheduled earlier in the day may help avoid nighttime wakefulness⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#why-do-dementia-patients-sleep-so-much\" data-reference-link=\"\" aria-label=\"Reference 3: AgingCare. (2022). Why do dementia patients sleep so much? agingcare.com. Accessed October 10 2026.\" data-reference-number=\"3\">[3]</a></sup>.</p><p>While these strategies can improve rest and help the person feel more connected to daily life, they may become less effective as the disease progresses. In the later stages of dementia, longer periods of sleep often become more frequent. As the condition progresses, <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/people\">speaking with a healthcare provider</a> can help ensure the person receives the right support and continues to be comfortable⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#it-typical-people-dementia-sleep-lot-during-day\" data-reference-link=\"\" aria-label=\"Reference 5: Alzheimer’s Society. (2021). Is it typical for people with dementia to sleep a lot during the day? alzheimers.org.uk. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>.</p><h2 id=\"supporting-a-loved-one-with-dementia\">Supporting a Loved One with Dementia</h2><p>Sleep changes in dementia can sometimes be <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/eldercare\">difficult to navigate for caregivers</a>, especially when a loved one begins to spend much of the day asleep. While this may be a noticeable change in the person’s sleep patterns, it is often a reflection of how the brain is changing.</p><p>In earlier stages, a steady routine and thoughtful engagement may help improve rest and support daily functioning. However, as the condition progresses, longer periods of sleep are to be expected and may not respond to routine strategies. Knowing what to expect and when to seek guidance makes it possible to offer care that is both informed and compassionate.</p><p>When possible, gently supporting nutrition, hydration, and moments of connection can offer comfort. Keeping communication simple and soothing, staying attuned to changes, and working closely with healthcare providers can all help loved ones and caregivers feel more confident in meeting evolving needs.</p></article><div class=\"article-endmatter\"><section class=\"article-sources\" data-reference-list=\"\" data-reference-style=\"author-date-title-source\" data-source-references=\"\" id=\"references\"><h2 id=\"references-2\">References</h2><ol><li id=\"dementia\" value=\"1\" data-reference-number=\"1\" data-reference-format=\"393\">World Health Organization. (2023). <em class=\"reference-title\">Dementia.</em> <a href=\"https://www.who.int/news-room/fact-sheets/detail/dementia?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-why-dementia-patients-sleep-so-much&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">World Health Organization</a>. Accessed October 10 2026.</li><li id=\"memory-problems-forgetfulness-aging\" value=\"2\" data-reference-number=\"2\" data-reference-format=\"393\">National Institute on Aging. (2022). <em class=\"reference-title\">Memory problems, forgetfulness, and aging.</em> <a href=\"https://www.nia.nih.gov/health/memory-loss-and-forgetfulness/memory-problems-forgetfulness-and-aging?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-why-dementia-patients-sleep-so-much&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">National Institute on Aging</a>. Accessed October 10 2026.</li><li id=\"why-do-dementia-patients-sleep-so-much\" value=\"3\" data-reference-number=\"3\" data-reference-format=\"393\">AgingCare. (2022). <em class=\"reference-title\">Why do dementia patients sleep so much?</em> <a href=\"https://www.agingcare.com/articles/dementia-patients-sleeping-a-lot-477227.htm?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-why-dementia-patients-sleep-so-much&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">agingcare.com</a>. Accessed October 10 2026.</li><li id=\"stages-alzheimers-disease\" value=\"4\" data-reference-number=\"4\" data-reference-format=\"393\">Alzheimer’s Association. (2024). <em class=\"reference-title\">Stages of Alzheimer’s disease.</em> <a href=\"https://www.alz.org/alzheimers-dementia/stages?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-why-dementia-patients-sleep-so-much&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Alzheimer’s Association</a>. Accessed October 10 2026.</li><li id=\"it-typical-people-dementia-sleep-lot-during-day\" value=\"5\" data-reference-number=\"5\" data-reference-format=\"393\">Alzheimer’s Society. (2021). <em class=\"reference-title\">Is it typical for people with dementia to sleep a lot during the day?</em> <a href=\"https://www.alzheimers.org.uk/blog/is-it-typical-people-dementia-sleep-lot-during-day?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-why-dementia-patients-sleep-so-much&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">alzheimers.org.uk</a>. Accessed October 10 2026.</li><li id=\"behavioral-psychological-symptoms-dementia\" value=\"6\" data-reference-number=\"6\" data-reference-format=\"393\">Cloak, N., Schoo, C., &amp; Al Khalili, Y. (2024, February 27). <em class=\"reference-title\">Behavioral and psychological symptoms in dementia.</em> In StatPearls. StatPearls Publishing. <a href=\"https://www.ncbi.nlm.nih.gov/books/NBK551552/?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-why-dementia-patients-sleep-so-much&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">National Library of Medicine</a>. Accessed June 2 2025.</li><li id=\"recognising-when-someone-reaching-end-life\" value=\"7\" data-reference-number=\"7\" data-reference-format=\"393\">Alzheimer’s Society. (2024). <em class=\"reference-title\">Recognising when someone is reaching the end of their life.</em> <a href=\"https://www.alzheimers.org.uk/get-support/help-dementia-care/recognising-when-someone-reaching-end-their-life?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-why-dementia-patients-sleep-so-much&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">alzheimers.org.uk</a>. Accessed October 10 2026.</li></ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://www.mentalhealth.com/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://www.mentalhealth.com/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/areesha-hosmer\" class=\"card-identity-photo\" aria-label=\"Areesha Hosmer, M.Sc.\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/98c7479dd0c3deaf63c6a3e7.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Author</p><h3 id=\"areesha-hosmer\"><a href=\"https://www.mentalhealth.com/people/areesha-hosmer\">Areesha Hosmer, M.Sc.</a></h3><p class=\"article-bio-credentials\">MSc</p><p>Areesha Hosmer is a writer with an academic background in psychology and a focus on Cognitive-Behavioral Therapy (CBT). </p><dl><div><dt>Published</dt><dd><time datetime=\"2025-06-08T08:16:55Z\">June 8, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2026-05-12T10:34:05Z\">May 12, 2026</time></dd></div></dl></div></section><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/holly-schiff\" class=\"card-identity-photo\" aria-label=\"Holly Schiff, Psy.D.\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/af4ecdb78008ac81cd3aa271.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"holly-schiff-psy-d\"><a href=\"https://www.mentalhealth.com/people/holly-schiff\">Holly Schiff, Psy.D.</a></h3><p class=\"article-bio-credentials\">Psy.D.</p><p>Holly Schiff, Psy.D., is a licensed clinical psychologist specializing in the treatment of children, young adults, and their families.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2025-06-08\">June 8, 2025</time></dd></div></dl></div></section></div></section><section aria-label=\"Related community\" class=\"article-topic-community article-topic-community-end\"><a href=\"https://www.mentalhealth.com/community/medical-conditions\" class=\"card-identity-photo\" aria-label=\"Medical Conditions\"><img alt=\"\" class=\"topic-community-banner\" height=\"800\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/a46170681b759d25479d8b00.webp\" width=\"1200\" decoding=\"async\" srcset=\"/assets/responsive/94ca6929953fe41e502b8634.webp 800w, /assets/optimized/a46170681b759d25479d8b00.webp 1200w\" sizes=\"(min-width: 961px) 236px, calc(100vw - 80px)\"></a><p class=\"topic-community-label\">Related community</p><h2><a href=\"https://www.mentalhealth.com/community/medical-conditions\">Medical Conditions</a></h2><p>Explore the connections between physical health conditions and mental well-being.</p></section></div></div><aside aria-label=\"Article navigation and related information\" class=\"article-sidebar\" data-bounded-rail=\"\" tabindex=\"0\"><details class=\"article-contents\" data-expanded=\"false\" data-scrolled-past=\"false\" data-section-preview=\"3\" open=\"\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a aria-label=\"Understanding Dementia\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#understanding-dementia\" title=\"Understanding Dementia\">Understanding Dementia</a></li><li><a aria-label=\"The Link Between Dementia and Sleep\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#the-link-between-dementia-and-sleep\" title=\"The Link Between Dementia and Sleep\">The Link Between Dementia and Sleep</a></li><li><a aria-label=\"How Different Types of Dementia Affect Sleep\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#how-different-types-of-dementia-affect-sleep\" title=\"How Different Types of Dementia Affect Sleep\">How Different Types of Dementia Affect Sleep</a></li><li><a aria-label=\"Psychological Symptoms and Disease Progression\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#psychological-symptoms-and-disease-progression\" title=\"Psychological Symptoms and Disease Progression\">Psychological Symptoms and Disease Progression</a></li><li><a aria-label=\"Caring for Sleep Changes in Dementia\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#caring-for-sleep-changes-in-dementia\" title=\"Caring for Sleep Changes in Dementia\">Caring for Sleep Changes in Dementia</a></li><li><a aria-label=\"Supporting a Loved One with Dementia\" href=\"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#supporting-a-loved-one-with-dementia\" title=\"Supporting a Loved One with Dementia\">Supporting a Loved One with Dementia</a></li></ol><button aria-controls=\"article-section-list\" aria-expanded=\"false\" class=\"article-sections-toggle\" data-sections-toggle=\"\" type=\"button\">View more</button></nav></details></aside></div></div></div>","text":"Home Library Medical Conditions Excessive Sleep and Dementia Excessive Sleep and Dementia Written by Areesha HosmerMedically reviewed by Holly Schiff, Psy.D. Published on June 8, 2025 · Updated on May 12, 2026 Dementia is a progressive neurological condition that affects memory, thinking, and the ability to perform daily tasks. As this condition affects the brain, it can also disrupt normal sleep patterns, leading some people to sleep far more than usual. While this can be distressing for caregivers, excessive sleep often reflects changes in brain function rather than laziness or withdrawal. Understanding how and why dementia alters sleep can help families and caregivers respond with informed care and greater confidence. Key takeaways Dementia can disrupt sleep patterns and lead to more daytime sleeping or fragmented nighttime rest. Increased sleep may reflect disease progression or other changes that warrant attention to mood, behavior, and health. Consistent routines, daylight exposure, and individualized caregiving can help support sleep and comfort. Understanding Dementia Dementia refers to a group of progressive neurological disorders that impair memory, thinking, behavior, and the ability to carry out daily activities. It is more common in older adults and can significantly affect quality of life. Alzheimer’s disease is the most frequently diagnosed type, though vascular dementia, Lewy body dementia, and frontotemporal dementia are also common⁠[1]. In the early stages, dementia symptoms may appear subtle. A person may begin to lose track of time or misplace everyday items. Changes in mood or behavior can also emerge early, often before memory problems are noticeable. Common early signs of dementia include⁠[1]: Forgetting recent events Getting lost in familiar places Difficulty solving problems Trouble following conversations Withdrawing from social activities It’s also important to recognize the line between normal aging and dementia. Many older adults experience mild changes in memory and thinking as they age, such as occasional forgetfulness, slower recall, or needing more time to learn new things. In contrast, dementia involves progressive cognitive decline that disrupts daily routines and communication, along with continually worsening symptoms⁠[2]. Over time, dementia can affect more than just memory and cognition. Physical changes often emerge, including problems with coordination, mobility, and a person’s speech. Sleep disturbances are also common, ranging from frequent nighttime awakenings to prolonged periods of daytime sleep. These shifts reflect underlying changes in brain function that regulate behavior and bodily rhythms. The Link Between Dementia and Sleep Sleep changes are common in dementia and tend to become more noticeable as the condition progresses. While most older adults need seven to nine hours of sleep each night, people with dementia may sleep as much as 13 to 15 hours over a 24-hour period. This often includes long naps during the day and disrupted rest at night⁠[3]. The brain’s declining ability to regulate sleep-wake cycles can lead to confusion about time. It can also cause increased nighttime activity. Some people wake in the early hours believing it is morning, while others may wander at night and feel exhausted during the day. Even small daily tasks can become mentally draining in dementia, leading to fatigue and frequent dozing. Several sleep disturbances are especially common in dementia and may affect both routine and safety, including⁠[3]: Excessive daytime sleeping Difficulty falling or staying asleep Sleep apnea or irregular breathing Sundowning, marked by agitation or confusion in the evening Physical discomfort, such as restless leg syndrome Reversed sleep cycles, in which one is awake at night and asleep during the day Although a person may appear to sleep often, they may not reach deep or restful stages of sleep. Poor quality sleep can worsen memory, mood, and focus. It may also increase the risk of falls or other behavioral changes. These sleep changes can vary depending on the type of dementia a person has. Understanding how different forms of dementia affect sleep can help caregivers and loved ones anticipate possible issues and provide better support. Subject matter expert Natalie Staats Reiss Ph.D. Older adults and caregivers How Different Types of Dementia Affect Sleep Sleep changes are common across all types of dementia, but the pattern and severity can vary depending on the specific diagnosis and stage of progression. In Alzheimer’s disease, a type of dementia that affects memory and thinking, disrupted sleep often begins in the middle stages of the condition. People may sleep more during the day and have difficulty staying asleep at night. As the condition progresses, extended periods of sleep become more common, and the ability to distinguish day from night may fade⁠[4]. In frontotemporal dementia, a form of dementia that affects behavior and personality, sleep problems typically don’t occur in the early stages. However, as time goes on, issues such as fragmented sleep or increased fatigue may occur⁠[4]. Lewy body dementia, which is associated with abnormal deposits in the brain, often involves vivid dreams, nighttime confusion, and physically acting out one’s dreams. These sleep disruptions are often linked to changes in brain chemistry. Hallucinations and delusions, common in Lewy body dementia, can make restful sleep even more elusive⁠[5]. Vascular dementia, which occurs due to reduced blood flow to the brain, can contribute to sleep difficulties when areas of the brain that are responsible for sleep regulation are affected. These problems may become more noticeable when vascular dementia occurs alongside other forms, such as Alzheimer’s disease⁠[5]. Understanding how different types of dementia affect sleep can help caregivers respond more effectively; tailoring care to these patterns may ease distress and support a more stable daily routine⁠[5]. Psychological Symptoms and Disease Progression While increased sleep is common in later stages of dementia, it may sometimes signal more than the condition’s natural progression. In particular, when prolonged sleep is accompanied by changes in mood and behavior, it may reflect underlying behavioral or psychological symptoms. Behavioral and Psychological Symptoms of Dementia (BPSD) include a wide range of non-cognitive changes such as depression, apathy, hallucinations, and sleep disturbances. These symptoms affect a significant number of people with dementia and can contribute to reduced activity and increased daytime drowsiness. Although excessive sleep is not always classified directly under BPSD, it may appear alongside symptoms like emotional withdrawal or fatigue, especially when mental health concerns such as depression are also present⁠[6]. In some cases, these patterns may be worsened by factors such as pain, infection, or side effects from medication. Clinical assessments can help identify whether additional medical or psychiatric support is needed for excessive sleep in a dementia patient⁠[6]. Even when symptoms cannot be reversed, understanding their origin allows caregivers to better anticipate changes and respond with clarity and reassurance. Disease Progression and Decline Sometimes, a noticeable increase in sleep can be part of the later stages of dementia, indicating that the condition has progressed. This may occur alongside reduced responsiveness, limited speech, difficulty swallowing, incontinence, or becoming bed-bound and physically frail⁠[7]. Recognizing these signs can help families understand the difference between typical progression, associated mental health concerns, and changes that may require additional support. As the need for sleep increases, thoughtful and responsive care can still play an important role in preserving comfort and quality of life. Caring for Sleep Changes in Dementia Caring for a loved one with dementia can be difficult, but there are strategies that can help. Establishing a consistent daily routine with regular times for waking, eating, and incorporating light activities can help support the body’s natural rhythms in dementia patients⁠[3]. Encouraging time outdoors or sitting near a sunny window during the day may also improve the body’s sleep-wake cycles by helping regulate levels of the hormone melatonin. Gentle activities such as short walks, listening to familiar music, or having a calm conversation can help reduce long naps and encourage engagement during the day. These moments should be adapted to the person’s energy, as even light activity can be tiring with dementia⁠[5]. Creating a quiet and calming evening environment by dimming lights, lowering noise, and limiting stimulation can also support more restful sleep. If daytime naps are needed, keeping them brief and scheduled earlier in the day may help avoid nighttime wakefulness⁠[3]. While these strategies can improve rest and help the person feel more connected to daily life, they may become less effective as the disease progresses. In the later stages of dementia, longer periods of sleep often become more frequent. As the condition progresses, speaking with a healthcare provider can help ensure the person receives the right support and continues to be comfortable⁠[5]. Supporting a Loved One with Dementia Sleep changes in dementia can sometimes be difficult to navigate for caregivers, especially when a loved one begins to spend much of the day asleep. While this may be a noticeable change in the person’s sleep patterns, it is often a reflection of how the brain is changing. In earlier stages, a steady routine and thoughtful engagement may help improve rest and support daily functioning. However, as the condition progresses, longer periods of sleep are to be expected and may not respond to routine strategies. Knowing what to expect and when to seek guidance makes it possible to offer care that is both informed and compassionate. When possible, gently supporting nutrition, hydration, and moments of connection can offer comfort. Keeping communication simple and soothing, staying attuned to changes, and working closely with healthcare providers can all help loved ones and caregivers feel more confident in meeting evolving needs. References World Health Organization. (2023). Dementia. World Health Organization. Accessed October 10 2026. National Institute on Aging. (2022). Memory problems, forgetfulness, and aging. National Institute on Aging. Accessed October 10 2026. AgingCare. (2022). Why do dementia patients sleep so much? agingcare.com. Accessed October 10 2026. Alzheimer’s Association. (2024). Stages of Alzheimer’s disease. Alzheimer’s Association. Accessed October 10 2026. Alzheimer’s Society. (2021). Is it typical for people with dementia to sleep a lot during the day? alzheimers.org.uk. Accessed October 10 2026. Cloak, N., Schoo, C., & Al Khalili, Y. (2024, February 27). Behavioral and psychological symptoms in dementia. In StatPearls. StatPearls Publishing. National Library of Medicine. Accessed June 2 2025. Alzheimer’s Society. (2024). Recognising when someone is reaching the end of their life. alzheimers.org.uk. Accessed October 10 2026. Medical Content The Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy. About MentalHealth.com MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life. Author Areesha Hosmer, M.Sc. MSc Areesha Hosmer is a writer with an academic background in psychology and a focus on Cognitive-Behavioral Therapy (CBT). Published June 8, 2025 Updated May 12, 2026 Medical Reviewer Holly Schiff, Psy.D. Psy.D. Holly Schiff, Psy.D., is a licensed clinical psychologist specializing in the treatment of children, young adults, and their families. Reviewed June 8, 2025 Related community Medical Conditions Explore the connections between physical health conditions and mental well-being. Table of contentsChoose a section Understanding Dementia The Link Between Dementia and Sleep How Different Types of Dementia Affect Sleep Psychological Symptoms and Disease Progression Caring for Sleep Changes in Dementia Supporting a Loved One with Dementia View more","wordCount":1884},"schema":{"@context":"https://schema.org","@graph":[{"@type":"Organization","@id":"https://www.mentalhealth.com/#organization","name":"MentalHealth.com","url":"https://www.mentalhealth.com/","publishingPrinciples":"https://www.mentalhealth.com/publishing/editorial-policy"},{"@type":"WebSite","@id":"https://www.mentalhealth.com/#website","url":"https://www.mentalhealth.com/","name":"MentalHealth.com","inLanguage":"en-US","publisher":{"@id":"https://www.mentalhealth.com/#organization"}},{"@type":"BreadcrumbList","@id":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.mentalhealth.com/"},{"@type":"ListItem","position":2,"name":"Library","item":"https://www.mentalhealth.com/library"},{"@type":"ListItem","position":3,"name":"Medical Conditions","item":"https://www.mentalhealth.com/library/medical-conditions"},{"@type":"ListItem","position":4,"name":"Excessive Sleep and Dementia","item":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much"}]},{"@type":"ImageObject","@id":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#primaryimage","url":"https://www.mentalhealth.com/assets/optimized/008174019eeb5649845dded8.webp","contentUrl":"https://www.mentalhealth.com/assets/optimized/008174019eeb5649845dded8.webp","width":1200,"height":800,"encodingFormat":"image/webp","caption":"An older adult stretches while seated beside a bright window."},{"@type":"Person","@id":"https://www.mentalhealth.com/people/areesha-hosmer#person","name":"Areesha Hosmer","url":"https://www.mentalhealth.com/people/areesha-hosmer","jobTitle":"MSc","image":"https://www.mentalhealth.com/assets/optimized/98c7479dd0c3deaf63c6a3e7.jpg","sameAs":["https://www.linkedin.com/in/areeshahosmer?lipi=urn%3Ali%3Apage%3Ad_flagship3_profile_view_base_contact_details%3BTG9mvXJ%2FSQSE1tkc87jxPA%3D%3D"],"memberOf":[{"@id":"https://www.mentalhealth.com/publishing#department"}]},{"@type":"Person","@id":"https://www.mentalhealth.com/people/holly-schiff#person","name":"Holly Schiff, Psy.D.","url":"https://www.mentalhealth.com/people/holly-schiff","jobTitle":"Psy.D.","image":"https://www.mentalhealth.com/assets/optimized/af4ecdb78008ac81cd3aa271.jpg","sameAs":["https://www.linkedin.com/in/holly-ann-schiff-psy-d-21b53821/"],"memberOf":[{"@id":"https://www.mentalhealth.com/clinical-affairs#department"}]},{"@type":"Article","@id":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#article","url":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much","headline":"Excessive Sleep and Dementia","description":"Explore how dementia affects sleep patterns, what excessive sleep may signal, and how to respond with informed, compassionate care.","wordCount":1512,"mainEntityOfPage":{"@id":"https://www.mentalhealth.com/library/why-dementia-patients-sleep-so-much#webpage"},"publisher":{"@id":"https://www.mentalhealth.com/#organization"},"articleSection":"Medical Conditions","citation":[{"@type":"CreativeWork","name":"World Health Organization. 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