Often, I will do a Skype call with my best friend in the evening, when she is off work. She lays the cards out for me on her Turkish scarves then - ta-da! - the fortune-telling happens. Because she knows me so well, since we were pip-squeaks, it is helpful to have her insight on what each card forebodes. After the reading, I get to process it all with my pal then take it with me into my dreams.
Mediums obtain messages from the spirit world in different ways. Some receive intuitive information, in which images and words appear as mental impressions that are then relayed along to the living. In other cases, a medium may hear actual auditory messages or see actual images of these messages. Many people who do spirit communication regularly find that the dead can be quite a chatty bunch sometimes. If they've got something to tell you, they're going to make sure you get told. What you choose to do with the information is up to you, but a lot of mediums, it can feel like they've got someone's dead granny screaming in their ears, and if they don't pass that message along to you, she's not going to shut up.
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!