Mediumship is often referred to as a gift of the spirit but I can understand why it might sometimes be seen as a mixed blessing.
Those who enjoy what they do may indeed see it as their gift but others less at ease with their situation may find it a burden at times. They have choice. I know mediums in both camps and some have decided not to use their 'ability'. It's their right to choose. Service is a privilege and not an obligation.
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