A child psychiatrist in Malaysia is advocating for a review of the country’s school counsellor-to-student ratio, currently standing at one counsellor for every 500 students. The specialist argues this ratio is no longer adequate given the rising complexity of mental health and behavioral issues faced by students. Schools are reporting an increase in challenges requiring professional support, placing a strain on existing resources. The current system potentially limits the ability of counsellors to provide adequate, individualized care. A more appropriate ratio is needed to proactively address student wellbeing and prevent more serious issues from developing. This call for review highlights a growing concern about mental health support within the Malaysian education system.