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Halloween, known for spooky sights and sounds, can be especially unsettling for people with Alzheimer’s disease or dementia. The sudden noises, flashing decorations, and costumed strangers can cause confusion and anxiety. Jennifer Reeder, director of educational and social services at the Alzheimer’s Foundation of America (AFA), emphasizes the importance of proactive caregiving during this time to ensure the day remains safe and enjoyable for individuals with dementia.

“Following a few simple steps can help keep the ‘Happy’ in ‘Happy Halloween’ for someone living with dementia,” Reeder advises.

The AFA offers practical tips to help caregivers navigate the holiday with ease:

Halloween décor like screaming skeletons, flashing lights, or moving figures can be overwhelming and distressing for someone with dementia. Even visually disturbing decorations, such as witches or cobwebs, may be unsettling. Stick to neutral, calm seasonal decorations such as pumpkins, autumn leaves, or other non-threatening items.

As costumed trick-or-treaters roam the streets, helping your loved one relax can make a big difference. Play soothing music, engage in quiet activities like reading, or offer calming reassurance if they become agitated. Keeping the home peaceful and predictable is key to reducing any Halloween-related anxiety.

Consider tweaking Halloween traditions to better suit your loved one’s current abilities and preferences. Replace candy with healthier snacks like fruit, which can help avoid agitation caused by sugar. Enjoy simpler, non-stressful activities such as reminiscing over old Halloween photos, painting pumpkins, or watching a lighthearted Halloween movie together. Focus on what they enjoy and can participate in without feeling overwhelmed.

Having strangers repeatedly knocking on the door in costumes can be frightening and confusing for someone with dementia. It’s essential to ensure the person isn’t alone during these times. If your loved one wishes to hand out candy, accompany them and ensure they are safe. Avoid inviting trick-or-treaters inside unless they are familiar to you.

A well-lit home can deter burglars and vandals, who might target houses that appear empty. Keep both interior and exterior lights on to show that someone is home. If you’d prefer to avoid trick-or-treaters, consider leaving a bowl of candy outside with a sign that says, “Please take one.”

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