You’re answering your own question a bit there.
They’re missing something specific kinds of attention, or for clout goblins “attention” in general because they’re insatiable and think that by fucking with their hormonal balance and potentially doing invasive surgeries, they’ll obtain said something.
Confident people that know how to take care of themselves (hence, attractive) tend to be much more resistant to induced anxiety disorders.
You can tell if a dog owner has a male dog cause it doesn’t take an hour to get ready