One, some psychic mediums see spirits. Not every spirit chooses to show himself or herself to a psychic medium who has this ability, but many of them do. If the psychic medium can see spirits, part of the communication will be based on sight. A psychic medium may see something in their mind’s eye (as an inner vision), or they may see spirits the way they see other people (as a physical manifestation, except the spirits are more ethereal, ghostly).
Open readings address the larger aspects of your life rather than a specific problem area or question. They're usually done when you're entering a new phase of life, such as getting married, graduating from college or starting a family. You can somewhat direct the reading if you have a general area you want to cover, such as your career or health, but that's as specific as the direction gets.
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)
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.
Present - The next card, the middle card, represents your present state of being. This card helps you gain perspective on where you are right at this moment, what you are up against and what you have to work with. It may reveal things you are reluctant to acknowledge. For example, you may learn that your current efforts are in vain or that someone you trusted is shifty. On the other hand, you will also learn where your powers lay which you can nourish and grow into the future.