"Trance mediumship" is often seen as a form of mental mediumship. Most trance mediums remain conscious during a communication period, wherein a spirit uses the medium's mind to communicate. The spirit or spirits using the medium's mind influences the mind with the thoughts being conveyed. The medium allows the ego to step aside for the message to be delivered. At the same time, one has awareness of the thoughts coming through and may even influence the message with one's own bias. Such a trance is not to be confused with sleepwalking, as the patterns are entirely different. Castillo (1995) states,
Do compose your emotions and appearance to hide any revealing information about yourself. Your facial expression, style of dress, personal mannerisms, and emotional outbursts can tell a psychic, especially a false one, a great deal about you to make it look like she knows all these things from a paranormal reading, when in fact, she is merely interpreting your physical appearance or reactions.