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Industry brief · Health

Mental health in Malaysia, where our guest builds

Barry Ooi, our guest, left tech to build Chengal Centre, a private mental-health clinic in Kuala Lumpur. This brief covers what surrounds his work in Malaysia: who needs care, who provides it, who pays, where the money is moving and the rules every clinic works within.

Malaysia
Checked 16 Oct 2026 · every figure linked to its source · next review Jan 2027

01At a glance

4.6%

of Malaysian adults had depressive symptoms in the 2023 National Health and Morbidity Survey1.

Screening result, not a diagnosis
16.5%

of Malaysian children aged 5 to 15, about one in six, had mental health problems in the 2023 survey2.

Screening result, not a diagnosis
623

registered psychiatrists in Malaysia in November 2024, 385 of them in government hospitals, according to Health Minister Dzulkefly Ahmad3.

Registered includes academic and non-practising psychiatrists
76%

of private health spending in Malaysia is paid out of pocket by households. Private insurance covers 17%4.

Share of private health spending (2023), not of all health spending
RM47.7bn

Health Ministry allocation in Budget 2027, up from RM46.5 billion5.

Allocation as tabled in October 2026, not money spent

02Who needs care

Depression screening by age, NHMS 2023

Aged 16 to 19
7.9%
Aged 20 to 29
7.6%
Aged 50 to 59
2.4%

Depression is concentrated among young Malaysians: 7.9% of those aged 16 to 19 and 7.6% of those aged 20 to 29 screened positive in NHMS 2023, versus 2.4% of those aged 50 to 596.

Selected age bands only. NHMS is a screening survey, so these figures count people who screened positive, not diagnoses.

A parliamentary committee was told that the economic burden of mental health issues in Malaysia could reach RM25.3 billion by 2030 if no effective action is taken7. No method for the estimate was published.

Young people and suicide

  • Adolescents. In the 2022 National Health and Morbidity Survey of adolescents, 26.9% screened positive for depression and 13.1% reported suicidal thoughts, with girls affected about twice as often as boys8.
  • Suicide. Police recorded 1,114 suicides in Malaysia in 2024, compared with 1,087 in 2023, according to figures cited by Befrienders Kuala Lumpur9.
Police counts are generally considered undercounts.
If this raises something for you or someone you know, Befrienders Kuala Lumpur offers free, confidential emotional support 24 hours a day on 03-7627 2929. More at befrienders.org.my.

03How AI is reshaping it

What the trials and tests show

  • A trial. In a randomised US trial of a generative-AI therapy chatbot, Therabot, 106 people with depression, anxiety or eating-disorder risk got four weeks of access. After eight weeks, the participants with depression reported symptoms 51% lower on average, though the researchers said such tools still need clinician oversight10.
  • A stress test. A Stanford study testing five popular therapy chatbots in scripted scenarios found they showed more stigma toward alcohol dependence and schizophrenia than toward depression, and some failed to recognise signs of suicidal intent11.
The Therabot result is a before-and-after change in one group of participants. The Stanford findings come from lab scenarios, not patient outcomes.

What professional bodies say

  • United States. The American Psychological Association advised in November 2025 that generative-AI chatbots and wellness apps should not replace a qualified mental health provider, warning that generative AI cannot diagnose or treat psychological disorders12.
All of the evidence in this section is from the US. None of it tests a Malaysian service, and no Malaysian equivalent of the APA advisory was found when this brief was checked.

04Where the money is moving

Who pays for health care

PublicPrivate
Health spending, share of GDP, 2023
2.4%
2.2%

Malaysia's total health spending was 4.6% of GDP in 2023: 2.4% public and 2.2% private13.

Private health spending is closing in on public. The health minister described the split as 'almost like now 50-50' and said private spending would surpass public 'soonest'14.

Deals near the sector

  • Digital employee health. Malaysia-based Naluri, which combines mental health, preventive behavioural health and chronic disease programmes, raised a US$5 million Series B extension in August 2025, headed by TELUS Global Ventures' Pollinator Fund for Good, bringing its total Series B to US$14 million15. Naluri has also signed a commercial deal with TELUS Health to serve TELUS's Employee Assistance Programme clients in eight Southeast Asian markets16.
  • Private hospitals. Sunway Healthcare raised nearly RM3 billion in Malaysia's biggest listing in nine years, closing 28% above its RM1.45 offer price on its 18 March 2026 debut and valuing the group at RM21.3 billion17.
Naluri is one company, so its round and contract are one data point, not a market trend. The Sunway figures are debut-day figures for a hospital group, not mental health.

Southeast Asian healthtech and life-sciences startup funding (Tracxn)

2023
US$599M
2024
US$123M

Southeast Asian healthtech and life-sciences startups raised US$123 million in 2024, down 79% from US$599 million in 2023, with Singapore taking 75%, according to Tracxn18.

2024 data, reported in March 2025. It covers all of healthtech and life sciences, not mental health.

05Government plans, budgets and rules

Plans, budgets and law

  1. National plan. The Health Ministry's National Strategic Plan for Mental Health 2020-2025 set eight strategies, including a target of at least one clinical psychologist in hospitals by 202519.
  2. Psychiatrist target. The Health Ministry set a target of one psychiatrist per 50,000 people by 2025, which it said would need 720 psychiatrists20.
  3. Budget 2024. Khazanah Research Institute estimated that about 0.89% of the Budget 2024 health allocation went specifically to mental health, down from 1.11% in Budget 202321.
  4. Decriminalisation. Attempted suicide stopped being a crime in Malaysia on 10 September 202522.
  5. Budget 2026. Funding for the National Centre of Excellence for Mental Health was cut by 12%, from RM24.6 million to RM21.6 million23.
  6. Advocacy. Ahead of Budget 2027, the Malaysian Psychological Association called for at least 1% of the Health Ministry budget, about RM465 million on 2026's RM46.5 billion, to be set aside for mental health, rising to 2% over time24.
  7. Budget 2027. The Health Ministry's allocation rises to RM47.7 billion, from RM46.5 billion5. The budget expands electronic medical records on a 'one individual, one record' principle, with the speech citing a RM1 billion investment by MCMC in the project, and plans fully online licensing for private healthcare facilities from 202725.
Allocations are what was tabled, not money spent. The KRI figure counts one specific allocation, not all mental-health spending in hospitals and clinics. The psychologists' 1% is a proposal, not policy. The 2025 targets' outcomes were not found when this brief was checked.

The rules every Malaysian mental-health clinic works within

  1. Advertising. Private hospitals and clinics in Malaysia generally need Medicine Advertisements Board approval before advertising. Patient testimonials about treatment are not allowed, although testimonials about the premises are26.
  2. Online care. The Health Ministry issued Guidelines on Online Healthcare Services, which it describes as best-practice suggestions rather than law. They exclude online services that require psychotropic drugs to be sent by post. The Telemedicine Act 1997 had still not come into force by mid-202527.
  3. Doctors on social media. The Malaysian Medical Council's 2025 guideline on sharing information, including on social media, says direct or indirect advertising for personal gain is not appropriate for doctors28.
These apply across the sector and are listed as the setting every clinic works in, not as a description of any one clinic. The medical council's guideline covers registered doctors, including psychiatrists, but not psychologists or counsellors.

06Trends to watch

07The problems our guests are solving

An economist who left tech to build for mental healthEP03
Malaysia

Barry Ooi · Chengal Centre

An economist who left tech to build for mental health

~1 million

Malaysians aged 16 and over had depressive symptoms in NHMS 2023, 4.6% of adults. The share has doubled from 2.3% in 2019, according to Parliament's Special Select Committee on Health129.

237

psychology officers worked in the Health Ministry as of December 2024, according to the Malaysian Psychological Association30. The count covers the ministry only, not private practice.

Barry says he left tech after watching his wife's long struggle to find the right care. In the episode he explains why he built Chengal for people who are seriously ill, and what he sees missing between a psychiatric ward and home.

Watch the episode →

See how these conversations connect on the Discovery Atlas →

08Sources

One research agent gathered 35 figures from government, regulator and established data sources. A separate red-team agent then reopened every source, checked each number, its scope and its date, and looked for newer or conflicting data. It kept 9 figures as written, corrected 26 and cut 0. Each figure above links to its source below, with the date it refers to.

  1. Institute for Public Health, MOH: NHMS 2023 fact sheet · NHMS 2023 (fieldwork 2023, released May 2024)
  2. MOH NHMS 2023 fact sheet (16.5%); The Star/Bernama, 22 Jun 2026 (2019 baseline) · NHMS 2023; 2019 baseline as stated to Parliament, Jun 2026
  3. Health Minister Dzulkefly Ahmad, via Bernama (Sinar Daily / Media Selangor), 7 Nov 2024 · Nov 2024
  4. MOH Malaysia National Health Accounts, via CodeBlue, 19 Jan 2026 · 2023 (MNHA)
  5. Ministry of Finance, Budget 2027 speech · Budget 2027 as tabled, 9 Oct 2026
  6. CodeBlue, 13 Jun 2024, reporting NHMS 2023 · NHMS 2023
  7. The Star/Bernama, 22 Jun 2026, reporting Special Select Committee on Health chair Suhaizan Kaiat · Projection for 2030, stated Jun 2026
  8. Bernama, 31 Dec 2024, citing NHMS 2022 · NHMS 2022 (adolescent survey)
  9. Bernama, 10 Sep 2026, statement by Befrienders KL patron Lee Lam Thye citing PDRM · 2024 calendar year (cited Sep 2026)
  10. Dartmouth College, 27 Mar 2025 · Results published 27 Mar 2025 (NEJM AI)
  11. Stanford Report, 11 Jun 2025 · Study presented Jun 2025
  12. American Psychological Association health advisory, Nov 2025 · Nov 2025
  13. MOH Malaysia National Health Accounts, via CodeBlue, 19 Jan 2026 · 2023 (MNHA 2011-2023, released Dec 2024)
  14. CodeBlue, 19 Jan 2026 · 2023 data (MNHA), remarks Jan 2026
  15. TNGlobal, 12 Aug 2025; MobiHealthNews, 22 Aug 2025 · Aug 2025
  16. MobiHealthNews, 22 Aug 2025 · Aug 2025
  17. The Edge Malaysia, 18 Mar 2026 · Debut day, 18 Mar 2026
  18. Tracxn, via Tech Collective, 6 Mar 2025 · 2024 calendar year (reported Mar 2025)
  19. MOH, National Strategic Plan for Mental Health 2020-2025 · Plan period 2020-2025 (now ended)
  20. Bernama via Media Selangor, 7 Nov 2024 · Target set Dec 2021 for 2025 (as reported Nov 2024)
  21. Khazanah Research Institute, 24 Nov 2023 · Budget 2024 (estimate published Nov 2023)
  22. Bernama, 10 Sep 2026 · In force 10 Sep 2025
  23. CodeBlue, 10 Oct 2025 · Budget 2026 (tabled Oct 2025)
  24. The Sun, 9 Oct 2026 · Proposal made Oct 2026, before Budget 2027 was tabled
  25. Ministry of Finance, Budget 2027 speech · Budget 2027 as tabled, 9 Oct 2026
  26. MOH Pharmaceutical Services, Advertising Guidelines for Healthcare Facilities and Services (MAB 3/2023) · Guidelines in effect from 5 Jul 2023
  27. Skrine legal alert, 24 Jul 2025; MOH OHS 2025 FAQ · Guidelines circular 6 May 2025; Act status as of Jul 2025
  28. Malaysian Medical Council guideline, 2025 · V2/2025, endorsed 19 Aug 2025
  29. The Star/Bernama, 22 Jun 2026, reporting Parliament's Special Select Committee on Health · NHMS 2019 vs NHMS 2023
  30. The Sun, 9 Oct 2026, quoting Malaysian Psychological Association president Shazli Ezzat Ghazali · Dec 2024 (cited Oct 2026)