It depends how you became a psychic medium; if you had a mentor, they will probably want to keep an eye over you for a while, just till you feel comfortable on your own. Even if you've come to this realization on your own, it can be helpful to get advice and guidance from an experiences psychic. In some cases, your clients might only trust you if you are known to have been mentored or guided by an experienced and known psychic.

The suffix Voyant in Clairvoyant does not necessarily imply seeing pictures, graphics or pictorial presentation as such. ‘Seeing’ may also mean  ‘understanding’ like in ‘Oh, I see!’ In this context the ability of the clairvoyant medium may also include clairsentience, which means that the clairvoyant medium clearly senses the things and the situations. He experiences a kind of gut feeling about what is going to happen or how a situation can be best tackled to provide good results.
In 1970 two psychical researchers investigated the direct-voice medium Leslie Flint and found that all the "spirit" voices in his séance sounded exactly like himself and attributed his mediumship to "second-rate ventriloquism".[173] The medium Arthur Ford died leaving specific instructions that all of his files should be burned. In 1971 after his death, psychical researchers discovered his files but instead of burning them they were examined and discovered to be filled with obituaries, newspaper articles and other information, which enabled Ford to research his séance sitters backgrounds.[174]
The exposures of fraudulent activity led to a rapid decline in ectoplasm and materialization séances.[202] Investigator Joe Nickell has written that modern self-proclaimed mediums like John Edward, Sylvia Browne, Rosemary Altea and James Van Praagh are avoiding the Victorian tradition of dark rooms, spirit handwriting and flying tambourines as these methods risk exposure. They instead use "mental mediumship" tactics like cold reading or gleaning information from sitters before hand (hot reading). Group readings also improve hits by making general statements with conviction, which will fit at least one person in the audience. Shows are carefully edited before airing to show only what appears to be hits and removing anything that does not reflect well on the medium.[203]
‘Medium’ means acting as a channel for contacting and communicating with the spirits which may include the spirits of the dead and also other divine spirits, guiding spirits, angels, archangels and even cosmic powers. Clairvoyance means seeing things clearly beyond the normal senses. A clairvoyant sees the energy, images and visions not only within himself with his mind’s eye but also outside his body—beyond the veils of matter, space, and time.
^ Joseph Jastrow. (1935). Patience Worth: An Alter Ego in Wish and Wisdom: Episodes in the Vagaries of Belief. D. Appleton-Century Company. pp. 78–92. Lyon Sprague de Camp. (1966). Spirits, Stars, and Spells. New York: Canaveral. p. 247. Robert Goldenson. (1973). Mysteries of the Mind: The Drama of Human Behavior. Doubleday. pp. 44–53. Milbourne Christopher. (1970). ESP, Seers and Psychics. New York: Crowell. pp. 128–29

A series of mediumistic séances known as the Scole Experiment took place between 1993 and 1998 in the presence of the researchers David Fontana, Arthur Ellison and Montague Keen. This has produced photographs, audio recordings and physical objects which appeared in the dark séance room (known as apports).[188] A criticism of the experiment was that it was flawed because it did not rule out the possibility of fraud. The skeptical investigator Brian Dunning wrote the Scole experiments fail in many ways. The séances were held in the basement of two of the mediums, only total darkness was allowed with no night vision apparatus as it might "frighten the spirits away". The box containing the film was not examined and could easily have been accessible to fraud. And finally, even though many years have passed, there has been no follow-up, no further research by any credible agency or published accounts.[188]
The spiritualists Arthur Conan Doyle and W. T. Stead were duped into believing Julius and Agnes Zancig had genuine psychic powers. Both Doyle and Stead wrote that the Zancigs performed telepathy. In 1924 Julius and Agnes Zancig confessed that their mind reading act was a trick and published the secret code and all the details of the trick method they had used under the title of Our Secrets!! in a London Newspaper.[144]
Clairvoyance or "clear seeing", is the ability to see anything that is not physically present, such as objects, animals or people. This sight occurs "in the mind's eye". Some mediums say that this is their normal vision state. Others say that they must train their minds with such practices as meditation in order to achieve this ability, and that assistance from spiritual helpers is often necessary. Some clairvoyant mediums can see a spirit as though the spirit has a physical body. They see the bodily form as if it were physically present. Other mediums see the spirit in their mind's eye, or it appears as a movie or a television programme or a still picture like a photograph in their mind.
^ "Glossary of Key Words Frequently Used in Parapsychology" Archived 2010-12-24 at the Wayback Machine, Parapsychological Association website. "Materialization: A phenomenon of physical mediumship in which living entities or inanimate objects are caused to take form, sometimes from ectoplasm." Retrieved January 24, 2006 "Medium – Definition". Retrieved 23 March 2007.