diff --git a/lib/ruby_lsp/ruby_lsp_rails/document_symbol.rb b/lib/ruby_lsp/ruby_lsp_rails/document_symbol.rb
index bdad1445..e21026f1 100644
--- a/lib/ruby_lsp/ruby_lsp_rails/document_symbol.rb
+++ b/lib/ruby_lsp/ruby_lsp_rails/document_symbol.rb
@@ -16,10 +16,12 @@ class DocumentSymbol
       def initialize(response_builder, dispatcher)
         @response_builder = response_builder
         @namespace_stack = [] #: Array[String]
+        @inside_schema = false #: bool
 
         dispatcher.register(
           self,
           :on_call_node_enter,
+          :on_call_node_leave,
           :on_class_node_enter,
           :on_class_node_leave,
           :on_module_node_enter,
@@ -29,6 +31,13 @@ def initialize(response_builder, dispatcher)
 
       #: (Prism::CallNode node) -> void
       def on_call_node_enter(node)
+        message = node.message
+        return unless message
+
+        @inside_schema = true if node_is_schema_define?(node)
+
+        handle_schema_table(node)
+
         return if @namespace_stack.empty?
 
         content = extract_test_case_name(node)
@@ -44,9 +53,6 @@ def on_call_node_enter(node)
         receiver = node.receiver
         return if receiver && !receiver.is_a?(Prism::SelfNode)
 
-        message = node.message
-        return unless message
-
         case message
         when *Support::Callbacks::ALL, "validate"
           handle_all_arg_types(node, message)
@@ -58,6 +64,11 @@ def on_call_node_enter(node)
         end
       end
 
+      #: (Prism::CallNode node) -> void
+      def on_call_node_leave(node)
+        @inside_schema = false if node_is_schema_define?(node)
+      end
+
       #: (Prism::ClassNode node) -> void
       def on_class_node_enter(node)
         add_to_namespace_stack(node)
@@ -213,6 +224,39 @@ def handle_class_arg_types(node, message)
         end
       end
 
+      #: (Prism::CallNode node) -> void
+      def handle_schema_table(node)
+        return unless @inside_schema
+        return unless node.message == "create_table"
+
+        table_name_argument = node.arguments&.arguments&.first
+
+        return unless table_name_argument
+
+        case table_name_argument
+        when Prism::SymbolNode
+          name = table_name_argument.value
+          return unless name
+
+          append_document_symbol(
+            name: name,
+            range: range_from_location(table_name_argument.location),
+            selection_range: range_from_location(
+              table_name_argument.value_loc, #: as !nil
+            ),
+          )
+        when Prism::StringNode
+          name = table_name_argument.content
+          return if name.empty?
+
+          append_document_symbol(
+            name: name,
+            range: range_from_location(table_name_argument.location),
+            selection_range: range_from_location(table_name_argument.content_loc),
+          )
+        end
+      end
+
       #: (name: String, range: RubyLsp::Interface::Range, selection_range: RubyLsp::Interface::Range) -> void
       def append_document_symbol(name:, range:, selection_range:)
         @response_builder.last.children << RubyLsp::Interface::DocumentSymbol.new(
@@ -222,6 +266,19 @@ def append_document_symbol(name:, range:, selection_range:)
           selection_range: selection_range,
         )
       end
+
+      #: (Prism::CallNode node) -> bool
+      def node_is_schema_define?(node)
+        return false if node.message != "define"
+
+        schema_node = node.receiver
+        return false unless schema_node.is_a?(Prism::CallNode)
+
+        active_record_node = schema_node.receiver
+        return false unless active_record_node.is_a?(Prism::ConstantPathNode)
+
+        constant_name(active_record_node) == "ActiveRecord::Schema"
+      end
     end
   end
 end
diff --git a/test/ruby_lsp_rails/document_symbol_test.rb b/test/ruby_lsp_rails/document_symbol_test.rb
index 9896519f..15864ab2 100644
--- a/test/ruby_lsp_rails/document_symbol_test.rb
+++ b/test/ruby_lsp_rails/document_symbol_test.rb
@@ -439,6 +439,53 @@ class FooModel < ApplicationRecord
         assert_empty(response[0].children)
       end
 
+      test "adds symbols for table names in schema.rb" do
+        response = generate_document_symbols_for_source(<<~RUBY)
+          ActiveRecord::Schema[8.1].define(version: 2025_10_07_010540) do
+            create_table "action_text_rich_texts", force: :cascade do |t|
+              t.text "body"
+              t.datetime "created_at", null: false
+              t.string "name", null: false
+              t.bigint "record_id", null: false
+              t.string "record_type", null: false
+              t.datetime "updated_at", null: false
+              t.index ["record_type", "record_id", "name"], name: "index_action_text_rich_texts_uniqueness", unique: true
+            end
+
+            create_table :active_storage_attachments, force: :cascade do |t|
+              t.bigint "blob_id", null: false
+              t.datetime "created_at", null: false
+              t.string "name", null: false
+              t.bigint "record_id", null: false
+              t.string "record_type", null: false
+              t.index ["blob_id"], name: "index_active_storage_attachments_on_blob_id"
+              t.index ["record_type", "record_id", "name", "blob_id"], name: "index_active_storage_attachments_uniqueness", unique: true
+            end
+          end
+        RUBY
+
+        assert_equal(2, response.size)
+        assert_equal("action_text_rich_texts", response[0].name)
+        assert_equal("active_storage_attachments", response[1].name)
+      end
+
+      test "should not add create_table symbol unless inside migration block" do
+        response = generate_document_symbols_for_source(<<~RUBY)
+            create_table "action_text_rich_texts", force: :cascade do |t|
+              t.text "body"
+              t.datetime "created_at", null: false
+              t.string "name", null: false
+              t.bigint "record_id", null: false
+              t.string "record_type", null: false
+              t.datetime "updated_at", null: false
+              t.index ["record_type", "record_id", "name"], name: "index_action_text_rich_texts_uniqueness", unique: true
+            end
+          end
+        RUBY
+
+        assert_equal(0, response.size)
+      end
+
       private
 
       def generate_document_symbols_for_source(source)