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What Is Somatic Touch Therapy? A Guide to Gentle, Body-Aware Practices

Have you ever felt disconnected from your body after a stressful experience?

Or struggled with prolonged tension that traditional approaches can’t seem to resolve? 

You’re not alone. Many people find themselves seeking alternatives to conventional therapy, particularly when dealing with trauma, stress, or persistent physical discomfort.

Somatic touch therapy offers a unique approach that bridges the gap between physical sensations and emotional experience. It involves using the sense of touch. 

Ahead, we explore everything you need to know about somatic touch therapy, from its core principles to practical applications. 

What Is The Meaning Of Somatic Touch Therapy?

What is gentle somatic touch therapy?

Somatic touch therapy is a body-oriented therapeutic approach that uses gentle, attuned touch to help individuals support body awareness, regulate their nervous systems, and reconnect with their physical selves (1). 

The term “somatic” comes from the Greek word “soma,” meaning “of the body,” emphasizing the therapy’s focus on bodily experiences and sensations.

Core Principles Of Somatic Touch Therapy

The foundation of somatic touch therapy rests on several key principles:

Body-Mind Integration: This approach recognizes that emotional and psychological experiences are stored not just in the mind, but throughout the body. Stressful and overwhelming experiences create lasting imprints in our nervous system and physical tissues (2, 3).

Nervous System Regulation: The therapy focuses on helping the nervous system shift from states of survival (fight, flight, or freeze) to states of safety and relaxation (rest and digest). This regulation occurs through gentle, non-invasive touch that signals safety to the body (4).

Consensual and Attuned Touch: Every aspect of the touch is consensual, with continuous check-ins to ensure the client feels safe and empowered. The therapist uses highly attuned touch, meaning they listen carefully to the body’s responses and adjust accordingly (5).

Slow and Gentle Approach: Unlike traditional massage or bodywork, somatic touch therapy is slow and gentle. The goal isn’t to manipulate tissue but to support comfort and relaxation and encourage greater body awareness (6).

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Types Of Touch Therapy Approaches

Several specific modalities fall under the umbrella of somatic touch therapy:

  • Somatic Therapeutic Touch (STT): Focuses on supporting nervous system regulation and a sense of safety after stressful or overwhelming experiences (1).
  • Coregulating Touch (CRT): Emphasizes the therapeutic relationship and nervous system coregulation between therapist and client (7).
  • Transforming Touch Somatic Therapy: Integrates touch with somatic awareness and emotional processing (8).
  • Trauma Touch Therapy: Specifically intended for people who want support after traumatic or overwhelming experiences (8).

Each approach shares a common aim: using touch to support relaxation and body awareness while respecting the client’s autonomy, boundaries, and comfort level.

Read more: What Is the Best Somatic Meditation to Deal with Stored Emotions?

What Makes Hands-On Somatic Work Different From Talk Therapy?

Research specifically comparing somatic touch therapy to traditional talk therapy is still in its early stages, and we cannot yet conclusively compare the two therapies. 

However, emerging evidence about touch and nervous system regulation suggests several key differences in how these approaches facilitate recovery.

Access To Pre-Verbal Experiences

Talk therapy primarily engages the prefrontal cortex and language centers of the brain (9). However, the body often stores trauma (particularly early developmental trauma) in parts of the brain that developed before language capacity (2, 10). Somatic touch therapy can access these pre-verbal trauma patterns through the body’s sensory and autonomic nervous systems.

One study demonstrates that pleasant touch activates specific neural circuits that boost hormones, such as oxytocin, which are essential for social interaction and mental wellness (11).

This pleasant touch effect suggests that therapeutic touch may influence relaxation and stress responses in ways that talk-based processing doesn’t address as directly.

Bottom-Up Vs. Top-Down Processing

Talk therapy typically works “top-down,” using cognitive understanding to influence emotional and physical states. Somatic touch therapy works “bottom-up,” using physical sensations and nervous system regulation to create changes in emotional and mental states (12).

Nervous System Regulation Vs. Cognitive Understanding

Talk therapy primarily works through cognitive insights and emotional processing (13). 

While valuable, this approach may not directly address nervous system dysregulation. 

Somatic touch therapy works at the physiological level, helping to regulate stress responses and promote relaxation through direct nervous system intervention (6, 1).

Speed Of Physiological Change

Research on therapeutic touch suggests that hands-on approaches can create relatively rapid physiological changes (14, 15, 16), including:

  • Reduced cortisol (stress hormone) levels
  • Increased oxytocin production (bonding and safety hormone)
  • Improved heart rate variability
  • Enhanced parasympathetic nervous system activation

Talk therapy reduces stress through different mechanisms that take a more gradual pace, require practice, and become more apparent over time (13):

  • Cognitive reframing of negative thinking patterns
  • Development of coping strategies
  • Increased self-awareness and insight
  • Processing of complex emotions through language

Complementary Rather Than Competitive

Rather than viewing somatic touch therapy and talk therapy as competing methods, research suggests they may work synergistically. 

Many clients benefit from combining both approaches, using talk therapy for cognitive processing while utilizing somatic touch therapy to support body awareness, grounding, and relaxation.

To learn more about different somatic interventions and their applications, exploring various therapeutic approaches can help you understand which combination may be a good fit for your goals and preferences.

How Can Somatic Touch Therapy Support Body Awareness?

Body awareness (the ability to sense and understand what’s happening inside your physical being) gets compromised by difficult past experiences or disconnection (17). 

Somatic touch therapy can support the restoration of this vital human capacity through several mechanisms:

Rebuilding The Mind-Body Connection

Prolonged stress and overwhelming experiences often cause people to disconnect from their bodies as a protective mechanism. This disconnection, while initially protective, can lead to (18):

  • Reduced awareness of physical sensations
  • Difficulty recognizing hunger, thirst, or fatigue
  • Challenges in identifying emotional states
  • Loss of proprioception (sense of body position)

Somatic touch therapy helps rebuild the mind-body connection through several probable mechanisms:

Interoceptive Awareness: Gentle, attuned touch helps clients tune into internal bodily sensations, gradually increasing their awareness of heartbeat, breathing, muscle tension, and other physical cues (19).

Present-Moment Anchoring: The physical sensation of therapeutic touch provides a concrete anchor to the present moment, helping clients develop the capacity to stay present with their bodily experiences (6).

Gentle Sensation Exploration: Within the context of a therapeutic relationship, clients can gently explore sensations that might otherwise feel overwhelming or frightening (20).

Window of Tolerance Expansion: Regular practice can expand the range of sensations a client can tolerate without feeling overwhelmed (21). 

Practical Ways Body Awareness Develops

Through somatic touch therapy sessions, clients often report increased awareness in several areas (22):

  • Breathing patterns: Noticing shallow breathing and learning to access deeper, more relaxed breathing
  • Muscle tension: Becoming aware of prolonged holding patterns and experiencing what relaxation feels like
  • Emotional sensations: Learning to identify how emotions show up in the body
  • Boundaries: Developing a clearer sense of where their body begins and ends
  • Pleasure and comfort: Rediscovering the capacity for pleasant sensations

Building Body Trust

Many individuals struggling with trauma or ongoing stress have learned to mistrust their bodies. Somatic touch therapy helps rebuild this trust by consistently providing positive, comfortable bodily experiences. Over time, clients often develop greater confidence in their body’s wisdom and signals.

While research specifically on somatic touch therapy continues to emerge, related studies on therapeutic touch and body-based interventions suggest that these mechanisms can effectively reduce stress and affect both blood pressure and cortisol levels (14, 15, 16).

For more information on specific techniques used in this process, explore various somatic interventions that complement touch therapy.

Does Somatic Touch Therapy Release Stored Tension?

The concept of “stored tension” in somatic touch therapy relates to how the nervous system organizes around traumatic or overwhelming experiences, creating patterns of muscular holding, shallow breathing, or ongoing activation that persist long after the initial event.

What People Mean by “Stored Tension”

Neurological Basis: Research shows that traumatic experiences can create lasting changes in the nervous system, including (23):

  • Altered stress response patterns
  • Persistent muscle tension and holding patterns
  • Dysregulated breathing patterns
  • Changes in gut microbiome

Fascia and Connective Tissue: Studies suggest that fascia (connective tissue) may hold cellular memory and respond to emotional states (24). Ongoing stress can create restrictions in fascial tissue that gentle touch may address (25).

Polyvagal Theory: One study on the autonomic nervous system suggests that calming touch can activate the parasympathetic nervous system, supporting the body’s relaxation response (26).

We have limited scientific research specifically on somatic touch therapy’s ability to relieve tension. 

Much of our understanding comes from related fields like massage therapy, craniosacral work, and general therapeutic touch research, which show promising but preliminary results.

Theoretically, somatic touch therapy may help release these patterns through several mechanisms:

Probable Mechanisms Of Release

While we need more research, several mechanisms may explain how somatic touch therapy facilitates the release of stored tension:

Nervous System Coregulation: The therapist’s regulated nervous system may help coregulate the client’s nervous system, promoting a shift from defensive states to relaxation (4).

Mechanical Pressure and Release: Gentle pressure and holds may help fascial tissue release restrictions, though this occurs much more subtly than in traditional massage (27).

Neuroplasticity: The brain’s capacity to form new neural pathways means that repeated experiences of comfort and relaxation through touch may help establish new, more sustainable patterns (28).

Hormonal Responses to Therapeutic Touch: Studies note increased oxytocin production during supportive touch (15), which enhances relaxation and release. 

Most clients describe the “release” experienced in somatic touch therapy as:

  • A sense of letting go
  • Deeper breathing
  • Areas of the body feel softer or more relaxed.
  • These experiences suggest physiological changes, though the exact mechanisms remain to be investigated (29).

What Does A Somatic Touch Session Feel Like?

The experience during a somatic touch therapy session differs significantly from one person to the next. Research provides limited evidence to support outcomes of somatic touch. 

At this stage, we rely on anecdotal reports.

Some commonly reported experiences are as follows:

Initial Sensations

Deep Relaxation: Many clients report an almost immediate sense of relaxation that feels different from their usual experience. They often describe it as a “melting” sensation or feeling like they can “finally exhale” (30).

Surprised by Stillness: Since the therapist’s hands often remain still rather than moving, clients are sometimes surprised by how powerful the stationary touch feels.

Emotional Responses: It’s common for emotions to arise during sessions. 

Clients might experience (31):

  • Spontaneous tears (often of relief)
  • Feelings of relief they haven’t felt in years.
  • Memories or insights arising naturally
  • A sense of being “held” or supported

Progressive Changes Throughout Sessions

Increased Body Awareness: Clients often become more aware of areas of tension they didn’t previously notice, as well as areas of ease and comfort.

Nervous System Responses: Common responses include (32):

  • Deeper breathing patterns
  • Muscle twitching or small movements as tension releases
  • Temperature changes (feeling warmer or cooler)
  • Gurgling sounds from the digestive system as the parasympathetic nervous system activates.

Sleep and Rest States: Many clients enter deep rest states during sessions, sometimes falling asleep naturally – something that may be rare in their daily lives (33).

Long-Term Experiential Changes

Clients who engage in regular somatic touch therapy often report:

  • Improved sleep quality
  • Better emotional regulation
  • Increased capacity to handle stress
  • Reduced persistent discomfort or tension

Individual Variations

It’s important to note that everyone’s experience is unique. 

Factors that influence the experience include:

  • Personal trauma history
  • Current stress levels
  • Previous experiences with touch
  • Individual nervous system sensitivity
  • The specific therapeutic relationship

Some clients may need several sessions to feel comfortable enough to relax fully, while others experience immediate benefits.

Not All Sessions Feel “Good”

It’s important to understand that:

  • Some sessions may bring up difficult emotions or memories
  • Initial sessions might feel uncomfortable as the body adjusts
  • Processing trauma can involve temporary increases in awareness of discomfort
  • Recovery is not always linear and may include challenging moments

The pace of experiencing benefits varies significantly. Some people notice immediate changes, others require multiple sessions. 

Understanding these potential experiences can help individuals approach somatic touch therapy with realistic expectations and greater preparedness for their personal process.

It is also important to note that the changes described here are based on anecdotal evidence and personal reports. While some research supports aspects of somatic therapy, these specific outcomes have not been fully validated by scientific studies.

Can Touch Therapy Be Self-Applied?

While professional guidance is often essential for addressing complex trauma and nervous system dysregulation, there are several gentle techniques individuals can use to support their own regulation and well-being.

The Importance of Professional Guidance

Complex Trauma Considerations: Individuals with significant trauma histories should work with trained professionals, as self-applied techniques might sometimes trigger overwhelming responses without proper support.

Learning Proper Technique: Working with a qualified practitioner helps individuals learn to recognize their body’s signals and to understand the appropriate use of somatic touch.

Safety and Consent: Professional guidance ensures that all touch remains consensual and within appropriate therapeutic boundaries.

Gentle Self-Regulation Techniques

Several somatic touch therapy activities can be gently self-applied (34):

Self-Holding and Comfort Touch:

  • Placing hands on your heart or belly during stress
  • Gentle self-hugging or wrapping arms around yourself
  • Placing one hand on the chest and one on the belly while breathing slowly

Grounding Through Touch:

  • Feeling your feet on the ground
  • Pressing palms firmly together
  • Gentle self-massage of hands, arms, or feet

Breathwork Combined with Touch (35):

  • Placing hands on the ribs while breathing deeply
  • Gentle pressure on the sternum during exhale
  • Hand placement on the belly during diaphragmatic breathing

Progressive Self-Care Approaches

Individuals can gradually build their capacity for self-regulation:

  1. Start Small: Begin with brief moments of gentle self-touch
  2. Notice Responses: Pay attention to how your body responds to different types of touch
  3. Build Tolerance: Gradually increase comfort with gentle, nurturing touch
  4. Seek Support: Work with professionals when dealing with complex responses

When To Seek Professional Help

Consider professional guidance if you experience:

  • Overwhelming emotional responses to self-touch
  • Panic or worry when attempting self-soothing techniques
  • Dissociation or feeling disconnected from your body
  • Difficulty maintaining appropriate boundaries with yourself

Professional somatic touch therapists undergo extensive training to understand nervous system responses, trauma dynamics, and appropriate touch techniques (36). 

They can read subtle cues and adjust their approach accordingly, skills that are difficult to replicate in self-practice.

If you’re interested in self-regulation, consider working with a qualified practitioner first to learn appropriate techniques and understand your unique needs and responses. 

This foundation can make self-practice more comfortable and effective.

To better understand the broader context of body-based supportive approaches, it may help to explore different types of somatic therapy activities and how they’re typically used.

Read more: At-Home Somatic Therapy: Exercises To Regulate Your Emotions

What Are Some Easy Somatic Touch Therapy Techniques To Try?

The following techniques are gentle and can offer a simple introduction to somatic, body-aware touch practices.

Heart Coherence Hold

This technique helps regulate the nervous system and promote feelings of safety and calm.

Steps:

  1. Sit or lie down in a comfortable position
  2. Place one hand on your heart and one hand on your belly
  3. Close your eyes and breathe naturally
  4. Notice the warmth and weight of your hands
  5. Allow your breathing to slow and deepen naturally
  6. Stay in this position for 3-5 minutes
  7. Notice any changes in your body sensations

Benefits: This technique can help activate the parasympathetic nervous system and create feelings of self-compassion and safety.

Grounding Through Feet Connection

This technique helps you connect with your body and the present moment.

Steps:

  1. Sit in a chair with both feet flat on the floor
  2. Place your hands on your thighs
  3. Press your feet firmly into the ground
  4. Notice the sensation of contact between your feet and the floor
  5. Breathe slowly while maintaining this connection
  6. Hold for 2-3 minutes
  7. Notice any changes in your sense of stability or calm

Benefits: This technique can help reduce stress and create feelings of groundedness and stability.

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Gentle Boundary Creation

This technique helps establish clear energetic boundaries and self-awareness.

Steps:

  1. Stand with arms at your sides
  2. Slowly raise your arms out to your sides at shoulder height
  3. Imagine creating a protective bubble around yourself
  4. Gently pat or stroke your arms, shoulders, and torso
  5. Notice the edges of your body and your personal space
  6. Take several deep breaths while maintaining this awareness
  7. Slowly lower your arms

Benefits: This technique can help increase body awareness and create clear psychological boundaries.

Nervous System Reset Touch

This technique helps activate the body’s relaxation response.

Steps:

  1. Lie down comfortably on your back
  2. Place both hands on your ribcage, just below your chest
  3. Apply gentle, steady pressure
  4. Breathe slowly and deeply, feeling your ribs expand under your hands
  5. Hold this position for 5-10 minutes
  6. Focus on the rhythm of your breathing
  7. Notice any sensations of relaxation or ease

Benefits: This technique can help slow heart rate, reduce blood pressure, and promote overall relaxation.

Self-Soothing Neck and Shoulder Release

This technique addresses common areas where stress and tension accumulate.

Steps:

  1. Sit comfortably with good posture
  2. Place your right hand gently on your left shoulder
  3. Apply gentle pressure and hold for 30 seconds
  4. Slowly stroke from shoulder toward your heart 3-4 times
  5. Repeat on the other side
  6. Place both hands on the back of your neck
  7. Apply gentle pressure and hold, breathing deeply

Benefits: This technique can help release physical tension and provide comfort during stressful moments.

For those interested in learning more about somatic massage techniques and their applications, exploring professional training or working with qualified practitioners can deepen your understanding and skills.

What Are The Negatives Of Somatic Touch Therapy?

While somatic touch therapy can offer significant benefits, it’s important to understand potential limitations and considerations:

Limited Specific Research:  While related research on therapeutic touch and body-based interventions shows promise, emerging studies on somatic touch therapy suggest its potential to enhance emotional regulation and resilience through interoceptive awareness. Techniques like the Community Resiliency Model (CRM) demonstrate how focusing on bodily sensations can support mental well-being, particularly for those affected by trauma (29). 

However, further research is needed to solidify the evidence base for all claimed benefits.

Retraumatization Risk: If not conducted by adequately trained practitioners, touch-based therapy could potentially reactivate traumatic responses, particularly for individuals with histories of physical, sexual, or emotional abuse. Proper training and trauma-informed approaches are essential (37).

Boundary and Consent Issues: The therapeutic use of touch requires extremely clear boundaries, ongoing consent, and ethical practice. 

Practitioners must be highly trained in maintaining appropriate therapeutic relationships and recognizing when touch may not be applicable.

Not Suitable for Everyone: Some individuals may not be comfortable with touch-based interventions due to cultural factors, personal preferences, trauma history, or other individual considerations. Alternative approaches may be more appropriate.

Insurance and Accessibility: Many somatic touch therapy practitioners don’t accept insurance, making this approach potentially inaccessible for some individuals due to cost.

Potential for Dependence: Some clients may start to rely too heavily on sessions or practitioner support, instead of building their own self-regulation skills over time.

Research on massage therapy and therapeutic touch has identified some potential negative outcomes, including, physical discomfort, and soreness (38). 

While these studies don’t directly examine somatic touch therapy, they suggest that all touch-based interventions carry potential risks that must be carefully managed by qualified practitioners.

The key to minimizing potential negative outcomes lies in working with properly trained, ethically-minded practitioners who prioritize client safety, consent, and appropriate pacing of the therapeutic process.

To explore how somatic touch therapy relates to other bodywork approaches, you might be interested in learning about somatic massage techniques and their applications.

Frequently Asked Questions

  • What is an example of touch therapy?

Coregulating touch is a prime example of somatic touch therapy, where a trained practitioner places their hands gently on areas such as the client’s back near the kidneys or cradles their head, without manipulation or movement. The practitioner attunes to the client’s nervous system responses, helping facilitate a shift from survival physiology to a more regulated, calm state.

  • Does touch therapy really work?

Research indicates that the therapeutic touch can have measurable physiological effects.

Studies show that appropriate, attuned touch can reduce cortisol levels, increase oxytocin production, and activate the parasympathetic nervous system (14, 15, 16). 

However, research specifically on somatic touch therapy is still developing, and individual responses can vary significantly based on factors like trauma history, practitioner skill, and personal comfort with touch.

  • What are the five phases of therapeutic touch?

The five phases of therapeutic touch, as developed by Dolores Krieger and Dora Kunz, are (39): 

  1. Centering (practitioner achieving a meditative state)
  2. Assessment (sensing the client’s energy field)
  3. Clearing (removing energy blockages)
  4. Intervention (directing energy to promote mental wellness)
  5. Evaluation (assessing intervention effectiveness)

However, somatic touch therapy may be guided by different frameworks that focus more on nervous system regulation than on energy work.

  • Does touch release serotonin?

Research suggests that pleasant touch can influence neurotransmitter production, including serotonin, though the mechanisms are complex. A pleasant touch stimulates specific neural pathways, boosting hormones and neurotransmitters associated with well-being, social bonding, and emotional regulation (14, 15, 16).

However, the relationship between touch and serotonin production specifically requires further research to fully understand.

The Bottom Line

Somatic touch therapy offers a body-based approach that supports the profound connection between mind and body. By working with the nervous system’s natural capacity for regulation and resilience, this approach can help individuals reconnect with their bodies, release stored tension, and develop greater self-awareness.

The process of reconnecting with your body is deeply personal, and what feels supportive for one person may not feel right for another. If you’re considering somatic touch therapy, take time to research qualified practitioners in your area who have appropriate training and credentials. Look for professionals who prioritize informed consent, maintain clear boundaries, and demonstrate understanding of trauma-informed care.

Remember that progress isn’t always linear, and combining somatic touch therapy with other supportive approaches (such as traditional therapy, movement practices, or mindfulness techniques) may provide the most comprehensive support for your unique needs.

DISCLAIMER:

This article is intended for general informational purposes only and does not serve to address individual circumstances. It is not a substitute for professional advice or help and should not be relied on for making any kind of decision-making. Any action taken as a direct or indirect result of the information in this article is entirely at your own risk and is your sole responsibility.

BetterMe, its content staff, and its medical advisors accept no responsibility for inaccuracies, errors, misstatements, inconsistencies, or omissions and specifically disclaim any liability, loss or risk, personal, professional or otherwise, which may be incurred as a consequence, directly or indirectly, of the use and/or application of any content.

You should always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or your specific situation. Never disregard professional medical advice or delay seeking it because of BetterMe content. If you suspect or think you may have a medical emergency, call your doctor.

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  10. Developmental trauma: Conceptual framework, associated risks and comorbidities, and evaluation and treatment (2022, frontiersin.org)
  11. Social touch-like tactile stimulation activates a tachykinin 1-oxytocin pathway to promote social interactions (2022, cell.com)
  12. Top-Down vs. Bottom-Up Approaches in Therapy: Understanding the Differences (n.d., ceangail.ie)
  13. Types of talking therapy (2022, nhs.uk)
  14. Self-soothing touch and being hugged reduce cortisol responses to stress: A randomized controlled trial on stress, physical touch, and social identity (2021, pubmed.ncbi.nlm.nih.gov)
  15. Influence of a “warm touch” support enhancement intervention among married couples on ambulatory blood pressure, oxytocin, alpha amylase, and cortisol (2008, pubmed.ncbi.nlm.nih.gov)
  16. Calming Effects of Touch in Human, Animal, and Robotic Interaction—Scientific State-of-the-Art and Technical Advances (2020, frontiersin.org)
  17. BODY AWARENESS, STRESS AND SYMPTOMS IN AUTONOMIC DYSFUNCTION IN PATIENTS WITH CHRONIC PAIN: AN EXPLORATIVE STUDY (2024, pmc.ncbi.nlm.nih.gov)
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