sundowners in young adult?

[htrn]

Have any of you ever heard of a young adult (18) having sundowners? This patient has several psych dx (bipolar, pervasive developmental disorder, explosive personality, and cognitive delay with IQ ~ 75). It seems like 4-6 evenings out of the week she has bizarre behaviors - requesting to be "put into an institution", running away, lashing out and hurting family members and pets, destroying property etc... Was just wondering if anyone else has ever seen this called sundowners? Thx

[Jules A, MSN]

I have seen this in one young patient but it was a medication issue. Not enough to hold him all day/night and his tendency to cheek medications from nurses that weren't consistent with mouth checks. I also cared for a woman about 50 years old that was considerably worse with psychosis in the evenings but as her medication started working that eventually subsided. Good luck.

[htrn]

Thanks - things getting better with an increase in meds and new behavioral mod program.

:-)