"Can adults get pinworms too?" Yes, and they do. Last month I saw a 28-year-old graduate student who'd been treated twice for anxiety and twice for insomnia. Four hours of sleep a night. Melatonin did nothing. Meditation did nothing. She wasn't waking up screaming, she was waking up at 2 AM with an itch she couldn't name. She'd tried therapy. She'd tried apps. Nobody ever checked. One morning Scotch tape test answered everything. Huge white thread count. One dose of pyrantel pamoate, a second dose two weeks later, and the insomnia she'd been managing for a year disappeared. She wasn't anxious. She was infected. A pediatric parasite adult-buried under three layers of adult explanations. If you've had unexplained night-after-night insomnia for months and nobody's asked what wakes you up, that's the question worth asking next. (Educational content, not medical advice.)