February 2026 Article from NCCDP

Caring Through the Seasons

As this cold winter shifts into spring, the seasonal transition can subtly affect individuals living with Alzheimer’s disease and other dementias, and the caregivers who sup

port them. Changes in daylight, routine, and environment may trigger behavioral or physical changes. Being proactive can make this time of year smoother for everyone!

1. Changes in Sleep & Increased Confusion

Longer daylight hours and shifting routines can disrupt circadian rhythms. Individuals may experience more nighttime wakefulness, daytime sleepiness, or increased late-afternoon confusion. Even small routine changes can feel overwhelming for everyone.

What can we do?

• Maintain a consistent daily schedule

• Increase morning light exposure by opening curtains early

• Encourage gentle daytime activity to reduce excessive napping

• Keep evenings calm with soft lighting and quiet routines

2. Mood Changes & Seasonal Depression

Reduced sunlight, lingering cold weather, and post-holiday isolation can contribute to low mood, irritability, withdrawal, or decreased motivation. In dementia, depression may show up as apathy rather than sadness.

What can we do?

• Encourage light movement such as short walks or chair exercises

• Incorporate music, reminiscence, or meaningful hobbies

• Increase social interaction with brief visits, phone calls, or shared activities

• Monitor individuals for persistent mood changes and consult a provider if needed

3. Increased Fall Risks

Melting snow, wet floors, uneven sidewalks, and muddy entryways create new safety hazards. Individuals living with dementia may not recognize slippery surfaces or may misjudge depth and distance.

What can we do?

• Place non-slip mats at entrances

• Ensure sturdy, well-fitting footwear

• Improve lighting in hallways and outdoor walkways

• Remove clutter and keep pathways clear

4. Caregiver Fatigue

After months of winter illness, limited outings, and fewer social supports, caregivers often experience increased stress and exhaustion. The cumulative strain can lead to burnout just as spring begins.

What can we do?

• Schedule short, consistent respite breaks

• Connect with a caregiver support group (virtual or in person)

• Ask family or friends for specific help

• Prioritize sleep and small moments of self-care whenever possible

5. Spring Allergies & Physical Discomfort

Pollen, dust, and mold can trigger allergies, leading to discomfort, poor sleep, and increased agitation. Because individuals living with dementia may struggle to communicate symptoms clearly, physical irritation may appear as behavioral change.

What can we do?

• Watch for new restlessness, rubbing eyes, or disrupted sleep

• Use air purifiers and limit outdoor exposure on high pollen days

• Keep windows closed during peak allergy times

• Consult a healthcare provider about appropriate treatments