Notes the relative loss of interest in individual psychotherapy of schizophrenia in recent years and how that loss is now being replaced with a more careful reassessment of the value of individual psychotherapy. Misunderstanding of schizophrenia has created a chasm between the practitioner and the counselee. Often left to psychiatric domain, pastoral psychotherapists traditionally have been reluctant to treat the schizophrenic. Explores the history of schizophrenia and the debate between psychotherapy and pharmacotherapy. Presents some views on process and personal characteristics which are important in the ministry of healing the brokenness experienced by the schizophrenically inflicted counselee. Offers a case illustration followed by a clinical and theological discussion.