It is essential for the mental health care provider to establish and maintain supportive therapeutic relationship to gain the essential information about the client, to gain their full participation in all aspect of plan of care and to achieve the set goals.8 Considering disability effect of schizophrenia on social, interpersonal and academic functioning of clients, the plan of care was meant to be based on thorough assessment of these areas of functioning. The thorough assessment of client further revealed that his academic performance was outstanding and it started declining with poor concentration since 2004. Aggravation of the symptoms was reported when the client was spending more time in his studies. Though, the family modified the burden of his education from Cambridge to intermediate education system, but never looked for professional help until 2008