We seek attention when we feel lonely. When we fear loneliness, we fight it out for survival and this is where we constantly remain engaged in seeking attention by asking questions and doing things to attract attention. The real challenge with this disorder is that when it sets in the child. There are excessive energies gone in the upper chakras from lower chakras and child has no control in his/her behavior as by being restless or hyper, they mean to release that excessive energy. Watch for periodicity, intensity and time interval for such hyper activity. Such children and even to large degree some housewives (mild disorder), when suffering with such disorder, lose contact with reality and they are not able to pay attention to any instruction in the time of attack.
It is a unique combination of frightful loneliness, insecurity, feeling of being subjected to injustice and strong survival instinct. In absence of survival instinct, it turns into depression.