Tom has blood on his hands?

Perhaps Tom's negative energy needs to be harnessed properly...as he may've inadvertently killed Dr. Matheson! After all, we know he was the one that killed the birds. His emotions were intense at the theatre where he first went to debunk Silver without Matheson being present. It was during that time period, that she experienced a deadly "vascular" attack.

In a way, it's kind of ironic. Tom spent time trying to debunk psychics while he was, in fact, sort of a fraud himself. He also ended up being the most dangerous person...with god-like destructive powers and definitive knowledge of an afterlife. Since being a psychic - actually a psychokinetic in this case - does not prove an afterlife whatsoever, he would have to be nearly omniscient too. Yet he was portrayed as not fully understanding what he was or what he knew until he pulled his bloody body off the restroom floor.

Sudden revelation leads to paranormal graduation? Why did it take a dangerous beating with porcelain to the head in order for him to have this "coming of age" moment as a supernatural being? It borderlines on comical. If Tom's fear and anger can pull birds from the sky to their death, tear apart an entire room, and cause an earthquake....then we can infer his ability to subdue or kill his attacker. He did not exhibit psychic talent, as he never saw these things coming; he never used clairvoyance or telepathy. Prior to his bathroom break, he simply had a serious case of out-of-control psychokinesis. Hence, the potential proverbial blood on his hands.

I suspect the filmmaker was trying to do too many things in order to surprise us like M. Night Shyamalan has popularized. Had Tom dramatically kicked serious ass in the restroom, it would have revealed his power too soon. Because the writer/director had to place the reveal in the theatre with Silver present, it forced the action and dialogue in previous scenes. All it did was add insult to an already injured script. While it's definitely not the worst film I've ever seen - "The Dentist" wins that award - I did enjoy it until things started getting wonky in the second act.