Objectives: This study aimed to gain some understanding regarding the type of self-reported cognitive strategies involved in the mediumistic process. Method: Semi-structured interviews were conducted with 19 Spiritualist medium tutors and the content was analyzed using a reflexive Thematic Analysis (TA) approach. Results: This analysis identified three main themes: focused attention and inhibition of distractions, multitasking behaviors, and memory-related phenomena, which could be associated with components of executive functions. Conclusion: These themes suggest that mediums may use specific cognitive processes to initiate and maintain alleged communication with discarnate personalities. The implications of such findings are discussed.