A new study from Duke-NUS Medical School and the Institute of Mental Health (IMH) reveals that 62 percent of Singaporean adults experiencing symptoms of anxiety or depression are willing to seek support from peers, even if they have avoided professional medical intervention. Published in the Singapore Medical Journal, the research indicates that peer-led initiatives could bridge the gap for the 77 percent of symptomatic individuals who currently do not engage with psychiatrists or psychologists.
Why Peer Support Appeals to Those Avoiding Clinical Care
Many individuals struggling with mental health symptoms bypass formal healthcare due to fears of stigma or the intimidation of a clinical setting. According to Assistant Professor Irene Teo, the study’s first author, peer support offers a more informal and relatable environment that lowers these psychological barriers. Unlike formal medical settings, peer-to-peer interactions focus on shared lived experiences, which can make the process of seeking help feel less like a diagnosis and more like a conversation.
More than half (51 percent) of the survey respondents who were open to peer support specifically preferred one-on-one interactions over group-based sessions. Additionally, 43 percent expressed a preference for virtual engagement, suggesting that digital accessibility is a key factor in future program design.
Who is Most Likely to Seek Peer-Based Support?
The study found that willingness to engage in peer support is not uniform across the population. Younger adults, who often demonstrate higher awareness of mental health, are more likely to participate in peer-based care. Furthermore, the research identified that individuals who have previously engaged with formal mental health services are actually more likely to welcome peer support. This suggests that informal networks often serve as a complementary layer to professional treatment rather than a replacement.
Professional background also plays a role. According to the data, white-collar workers in managerial roles are more open to informal care than those in clerical or sales positions. Researchers hypothesize that this may stem from a combination of higher baseline health literacy, intense work-related stress, and a lack of existing support networks at senior corporate levels.
How Peer Support Functions as a Clinical Bridge
Peer support is increasingly viewed by experts as a critical component of the healthcare journey rather than a standalone solution. Associate Professor Daniel Fung of the IMH notes that many people are not necessarily seeking medical labels; they are seeking to be heard. By connecting individuals with others who have navigated similar challenges, peer programs provide practical coping strategies and a sense of hope.

Professor Eric Finkelstein, the study’s senior author, emphasizes that the design of these programs must be deliberate. Because mental health needs vary, networks must balance emotional support with proper safeguards. Peer support acts as a “bridge,” according to Prof. Fung, helping individuals build the confidence and readiness required to eventually engage with formal clinical services when their conditions necessitate professional medical intervention.
Frequently Asked Questions
Is peer support intended to replace psychiatrists?
No. According to Associate Professor Daniel Fung of the IMH, peer support is meant to be a complement to, not a replacement for, formal treatment. It serves as a bridge to help individuals feel ready to seek professional care.

What are the primary barriers to seeking professional help?
The study highlights fear of stigma, the perception of clinical settings as intimidating, and concerns regarding confidentiality as key factors that prevent individuals from reaching out to mental health professionals.
Are virtual peer support options effective?
The research indicates that 43 percent of those open to peer support prefer virtual interactions, suggesting that digital platforms are essential for making mental health resources more accessible and flexible.
Have you or someone you know benefited from peer support in managing mental health? Share your thoughts in the comments below or subscribe to our newsletter for the latest updates on community-based health research.
