Physical. But if you are making an analogy with puberty blockers, if there were talking therapies that relieved the symptoms of epilepsy, would you insist that they be ignored in favour of continuing to give epileptic children meds that have side effects and no evidence of benefit? Of course not.
A condition that affects the brain is a physical condition. At present, in the UK, the largest studies into it are looking at the mental aspects of the condition.
The largest research into treating it are looking at surgical intervention, in place of medication.
Why would this be?
Personal opinion is that we're going backwards on this, not forwards. The parallels between what I've lived and those you despise are a lot closer than you may care to think about. Different but very similar. For a while I was taking a drug that was on the banned list. The argument being it gave me an advantage, higher pain threshold. So whilst they let me run, they'd quite happily take the entry fees, they didn't record my times.
There are some "talking therapies" for epilepsy, however their benefits and effectiveness are of a dubious nature.
You also have an eating therapy, the ketogenic diet. Now hijacked and pushed as a trendy diet. Developed for one thing, and later used for something else not remotely akin to what it was developed for.
It's most effective in children, who are basically kept at just above starvation level. Doesn't work for everyone who starts it, but its not "drugs" supplied by "big pharma". So there must be some benefit to it, right?
For the majority though, it's a lifetime of medication to try and make the condition livable with. More and more we're seeing kids being started on a lifetime of medication, to control a condition they can do little about. I agreed, aged 10, to start on a new, to me, drug. Now I'm officially addicted to it.
The amount of bullying, snide remarks, exclusion and outright hate directed at kids who've just been told they've now got this condition has to be seen to be believed. The means of doing all this has changed, making it almost instant these days, but the underlying message of "you're different, we don't want you near us "normal people"" hasn't changed in over 200 years.
And if you're going to keep on implying that just because I don't agree with your ideology, I'm for "the other side", you are going to have to start showing where I've said that.