If there was an answer to that question I think a lot of us would feel a lot better off but I don't think there is an answer because for so many of us the psychological difference in who we are happened at such a formative age that it is ever connected to the physical. Every one of us has our own path, and story to tell, but more often than not our childhoods just weren't typical, when we should have been making natural connection with language our environments inhibited our ability to and we are left with the unsure feeling that we don't know if it's physical or mental. It's more than both for me. It's part of me. A managed and controlled part of who I am. Most people never know it's there anymore but I do. Fight the good fight 🙌🙌