Agitation in Dementia: Causes, Symptoms and How to Manage It
Agitation in dementia is a common condition affecting many older adults, especially those diagnosed with Alzheimer’s. It can manifest as irritability, sleep disturbances, aggression, or pacing, and presents challenges for both caregivers and healthcare providers. Next, we’ll explore the causes, symptoms, and practical strategies for effectively managing agitation in people with dementia.
What is agitation in dementia patients?

Agitation refers to behaviors such as:
– Verbal or physical aggression
– Restlessness or repetitive movements
– Confusion and disorientation
– Sleep disturbances
These dementia symptoms often occur in the middle or late stages of the disease. Up to 80% of patients may experience some form of agitation.
Common causes of agitation in older adults
Key causes of agitation in older adults include:
– Physical changes in the brain
– Pain or physical discomfort
– Unfamiliar or noisy environments
– Communication difficulties
– Poor sleep patterns
– Infections
Agitation often stems from emotional distress or unmet needs. A calm and understanding approach is essential.
Managing agitation in dementia patients
Effective agitation management involves identifying the cause and using appropriate strategies.
Non-pharmacological approaches
Maintain a calm, clutter-free environment
Use familiar objects and daily routines
Offer soft music, gentle touch, or reading
Avoid arguing or confronting during episodes
Care strategies for people with dementia and agitation
Limit caffeine and sugar intake
Keep noise levels low and surroundings organized
Encourage independence in simple tasks
Monitor for infections or physical pain
Seek professional guidance when needed
Responsible use of medications
Medication should be considered only when necessary and under medical supervision. Avoid anticholinergic drugs that can worsen agitation.
Who is at risk?
Agitation in dementia most commonly affects:
– Adults over 65
– Individuals with family history of dementia
– People with diabetes or hypertension
– Those with unhealthy lifestyles (alcohol, smoking)
– Latino and African-American communities

Understanding Agitation in People with Dementia
Agitation is a common symptom in people with dementia, affecting nearly 60% of patients. When associated with wandering, this percentage can rise to 80%. Agitation and aggression are two of the most frequent behavioral disorders in this context, significantly impacting both the patient and their caregivers.
Support for caregivers
Supporting someone with agitation and dementia can be physically and emotionally demanding. Caregivers should seek guidance, rest, and emotional support to provide the best care possible.
Research That Transforms Lives: Homestead Associates’ Commitment to Dementia with Agitation
At Homestead Associates in Research, Inc., we are firmly committed to improving the quality of life for patients living with dementia with agitation. Through carefully designed clinical trials, our team researches new therapies aimed at reducing agitation symptoms and providing relief for both patients and their caregivers. Each study we conduct is an opportunity to advance medical knowledge and bring hope to families facing this challenging condition. Participating in our trials not only provides access to emerging treatments, but also contributes to the development of more humane and effective solutions for this reality.