People with dementia commonly experience fears that are closely linked to their cognitive symptoms. Fear of being left alone is very common, as the loss of familiar cognitive anchors makes solitude feel threatening. Confusion about where they are or who people are can cause intense fear and distress. Many people with dementia are afraid in the dark or when they wake disoriented at night. Fear of bathing and personal care tasks is also frequently reported. Some people fear that they are going mad, particularly in the early stages when they retain insight. Carers can reduce fear by maintaining consistent routines, using calm reassuring communication, and ensuring the environment feels safe and familiar.