It’s simple — because they can! People on the Other-Side want to share our lives with us. Over the years I’ve been practicing as a medium, I must have done thousands of sittings where spirits have come through to acknowledge that they were around their loved ones during difficult times, and by doing so, they were able to lend their support and strength. 
The mediums ranged from 15 to 47 years of automatic writing experience, performing up to 18 psychographies per month. All were right-handed, in good mental health, and not currently using any psychiatric drugs. All reported that during the study they were able to reach their usual trance-like state during the psychography task and were in their regular state of consciousness during the control task.
Do your homework when choosing a medium either for teaching or for having a reading performed for yourself. You might want to attend a few readings before deciding to go ahead and practice mediumship yourself. How long have they been practicing? Do they come recommended? Do they belong to an online community where they are rated? Did they have any formal training? There are official organisations and colleges that train mediums if you care to research them, you could study at one yourself! Always thoroughly check and ask for recommendations before joining any group, teacher or organisation.
Attempts to communicate with the dead and other living human beings, aka spirits, have been documented back to early human history. The story of the Witch of Endor (In the most recent edition of the NIV witch is rendered medium in the passage) tells of one who raised the spirit of the deceased prophet Samuel to allow the Hebrew king Saul to question his former mentor about an upcoming battle, as related in the Books of Samuel in the Jewish Tanakh (the basis of the Old Testament).
In all cases you should explain your motives clearly to the psychic, clairvoyant, spiritual guide or medium you are consulting. Spiritual readings are generally more interactive than psychic readings since they offer better insights about your inner self. A good spiritual reader will encourage users to ask questions and to question themselves so that they could experience the reading on a more personal level.
Spiritual reading is an instruction in prayer and virtue, according to St. Bernard of Clairvaux, and thus he said that "spiritual reading and prayer are the arms by which hell is conquered and paradise won." St. Josemaría Escrivá explained that spiritual reading "builds up a store of fuel. — It looks like a lifeless heap, but I often find that my memory, of its own accord, will draw from it material which fills my prayer with life and inflames my thanksgiving after Communion." (The Way 117)
Clairsentience occurs as a sense of knowing. It's similar to the psychic ability known as telepathy, except telepathy is performed between humans. Telepathy and clairsentience is the communication of a concept or idea as a whole, or a sense of knowing. It's the 'I feel like' of spirit communication. For example, the medium is not shown or told that uncle Fred was a successful businessman, she simply knows it all of a sudden. Furthermore, the medium may have the feeling of being a very successful person, and therefore knows that while we are on the topic of uncle Fred, he must have either been a successful man himself or is recognizing the success of your client. Accompanying information can clarify this.

“Help yourself during this troubled period by reading holy books. This reading provides excellent food for the soul and conduces to great progress along the path of perfection. By no means is it inferior to what we obtain through prayer and holy meditation. In prayer and meditation it is ourselves who speak to the Lord, while in holy reading it is God who speaks to us. Before beginning to read, raise your mind to the Lord and implore Him to guide your mind Himself, to speak to your heart and move your will.”

After drawing your cards, revisit your initial question to ensure that it has been addressed properly. A good tarot guide can help you interpret the images you see on the tarot cards, but there’s really no substitute for personal reflection. As with any skill, practice makes perfect, so use this tarot tool often (daily, if possible), or order a set of Astrology Answers Master Deck Tarot Cards and practice at home!
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