The persistence of stigma related to schizophrenia is addressed as a continuing challenge for social work students working in mental health. Student education is best grounded in direct clinical work with clients in conjunction with field supervision and classroom education. Through direct practice in individual and group sessions, students learn to help clients recognize and cope with stigma so that the potentially negative effects can be lessened. An assertive stance is suggested. Students are encouraged to initiate the topic and, because schizophrenia often affects cognitive abilities, work with clients at their level of understanding. Clinical interventions with first episode of schizophrenia clients by masters level social work students are illustrated and discussed.