Just as in any profession, mediums have specialties and areas of expertise. Unlike Allison Dubois in Medium, I don't work with the police in solving crimes. Or, unlike Melinda Gordon in The Ghost Whisperer, I don't help tormented souls cross over. Over the years, it has become very clear that my job lies in working with souls who have happily crossed over to the other side and, for the most part, are at peace. Sure, they may have regrets or unresolved issues, but they're not haunted or lost. Oftentimes, it's the living that are not at peace. The main goal of your deceased loved ones and spirit guides is to assist you in moving on, free of grief and struggle, so you can fulfill your life lessons and enjoy your time here on earth.
Mediumship became quite popular in the 19th-century United States and the United Kingdom after the rise of Spiritualism as a religious movement. Modern Spiritualism is said to date from practices and lectures of the Fox sisters in New York State in 1848. The trance mediums Paschal Beverly Randolph and Emma Hardinge Britten were among the most celebrated lecturers and authors on the subject in the mid-19th century. Allan Kardec coined the term Spiritism around 1860.[12] Kardec claimed that conversations with spirits by selected mediums were the basis of his The Spirits' Book and later, his five-book collection, Spiritist Codification.

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Scientists who study anomalistic psychology consider mediumship to be the result of fraud and psychological factors. Research from psychology for over a hundred years suggests that where there is not fraud, mediumship and Spiritualist practices can be explained by hypnotism, magical thinking and suggestion.[41][42] Trance mediumship, which according to Spiritualists is caused by discarnate spirits speaking through the medium, can be explained by dissociative identity disorder.[43]
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.
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^ "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". Dictionary.com. Retrieved 23 March 2007.