From brief reading it seems like therapy and ensuring that the young person has arrived at a mental state and maturity prior to beginning any medical treatment

From brief reading it seems like therapy and ensuring that the young person has arrived at a mental state and maturity prior to beginning any medical treatment while proceeding prior getting too far into puberty is the current ethical standard. Maturity isn't binary its a spectrum. I don't understand why we can't proceed sensibly according to ethical standards and help people without giving random confused preteens hormones based on a 10 minute interview. This article reads as alarmist.