Yeah it's like when you hear about playing baby shark 24/7 at a volume to deprive people of sleep and some people are like "hahaha baby shark isn't that funny" but you can pick any song in the world and if you play it long enough, loud enough, keeping people from sleeping, they will go absolutely clinically insane.
I was on a flight last night desperate for sleep after a few weeks of a few hours a night and no naps (boring story, too many personal details to relay here). I desperately wanted to sleep. The guy behind my was doing a single, extremely loud, harsh bark/cough every 9 or 10 minutes. I would just drift off and bam! Another cough. I was so tired that I would jolt awake. The adrenaline would subside, if drift into a liminal state, and bam. At the three hour mark I snagged a black coffee and got it into me as fast as I could. If I didn't, I was pretty sure I was going to freak out.