When a goat spiritual totem appears on your path, it is preparing you for a time characterized by climbs to new heights and new endeavors in your life. It gives you the gift of moving forward one step at a time to attain what you seek. Maybe you deserve more in your life and the goat is prompting you to aim higher.
A clairvoyant medium is a psychic who goes into trance, a sleep like state in which he allows his body and senses to be possessed by the spirit which may be his own guiding spirit or that of the seeker. The spirit has an overview of all the happenings on the earth.
Mediums deal with loved ones in spirit, Clairvoyants can work by many means, but deal with life issues. What you get on TV will also be hype, so take it as you feel. Psychic's of any variety can work over the phone as energy is energy.