Nighttime can be challenging and even more so for caregivers. We all tend to wear out by the end of the day, but you may notice that your loved one’s symptoms can appear to worsen in the late afternoon and evenings. People with dementia might also confuse day and nighttime, causing sleep disturbances. Be sure the person has been evaluated by a physician for the common causes of sleep disturbances that often come with age, such as sleep apnea, restless leg syndrome and side effects of medications. Also, reflect on your family member’s day. If they are not sleeping at night, it could be because they are sleeping all afternoon. Finding meaningful activities throughout the day can help prevent excessive napping. Remember, when the person isn’t sleeping, neither is the caregiver; none of us can continue to be successful caregivers without enough sleep. Be sure to reach out before exhaustion sets in.