When Fireworks Aren’t Fun: PTSD, Dementia, and Sensory Overload in Older Adults
Why July 4th can be distressing—and how to prepare with compassion
By Susan Chaityn Lebovits
For many families, fireworks on July 4th are part of their summer ritual. But for older adults—especially those living with dementia, sensory sensitivities, or PTSD—the sudden explosions of sound and light can trigger panic, confusion, or even trauma flashbacks.
According to the Alzheimer’s Foundation of America, fireworks and large crowds can be distressing and disorienting for someone with dementia, which is why it’s critical that families make adaptations to ensure their loved one can celebrate and enjoy the day. Loud, unexpected sounds can confuse or terrify a person with cognitive decline. They may interpret fireworks as gunshots, perceiving them as a threat, or become overwhelmed by the sensory input.
Veterans and trauma survivors may experience flashbacks, racing heart rate, or hypervigilance in response to explosive noises. According to the U.S. Department of Veterans Affairs, up to 20% of post-9/11 veterans have PTSD, making this a common but often invisible challenge.
Even without a trauma history, older adults—particularly those on the autism spectrum or with anxiety—may experience sensory overload from prolonged exposure to loud or unpredictable stimuli.
How to Prepare and Protect
1. Offer Frequent Reminders
Explain what’s happening before the event. Use clear, reassuring language:
“Tonight you may hear loud bangs outside. They’re just fireworks for the holiday. We’re safe.”
2. Create a Calm Space
Choose a room away from windows with soft lighting. Add familiar blankets, noise-canceling headphones, or calming music. We love this sound machine which can offer calming choices year-round.
3. Skip the Show (or Watch on TV)
If you’re hosting or attending an event, consider alternatives:
Watch televised displays with the volume set low or to classical music
Use earplugs, headphones or noise reduction earmuffs if your loved one wants to be near family. Our clients love these noise reduction earmuffs, which offer a safe space during loud family gatherings and sporting events.
4. Ask About Medication Interactions
Some medications—like stimulants, certain antidepressants, or benzodiazepines—can alter how a person responds to stress or noise. Check with a physician to be better prepared.
5. Know Signs of Distress
If you decide to go to an event, plan your emergency exit strategy well in advance in case it’s needed.
Look for:
•Pacing or fidgeting
•Verbal outbursts or confusion
•Covering ears or eyes
•Crying, yelling, or attempting to leave
❤️ Celebrate with Compassion
Your loved one may not experience the holiday the way you do—and that’s okay. The most important celebration is creating a safe space where they feel seen, respected, and protected. Celebrations are about tailoring joy to accommodate everyone in the family.