What happens: Psychic means that I connect with YOU: your energy field, your Higher Self and guides with the intention of receiving reflection and guidance to help you with your life. Although psychic ability is most often associated with future prediction, this is not my focus. If predictions come up, I will tell you and won't keep them from you, but through experience I have found that this is not the best use of psychic ability, as it can take power and responsibility away from you. It is much more valuable to reflect back to you information that widens your perspective and empowers you to take right action. The future has more to do with cause and effect than it does fate, in my opinion.
Mediumship means that I connect with people who have passed. This may be someone you were close with and want to hear from because you have unfinished business with that person, such as a parent, sibling, friend, particularly if you didn't get to say goodbye. Or, sometimes people can come through who you didn't know very well in order to guide the reading and give you advice. They are not all-knowing, but most people gain perspective after passing and if they come through with the intention of helping you, it's because they are the most appropriate person in spirit to do that for you. This may be a grandparent or great-grandparent, family friend, or perhaps someone you were close to but are in a place to heal your own life rather than re-connect with them. In general, I think of mediumship in two ways: 1) A reconnection with loved ones who have passed. The conversation is more about them and perhaps your relationship with them. 2) Spirits who come through with the intention to help YOU with your life - not about them or your relationship with them
Of course there can be a combination in one reading, but usually it will lean towards one side or another.