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What Is Skin Hunger and Why Is It Affecting Older Adults

Being touch-starved is a very real problem with very real consequences


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I was talking to a therapist recently who told me about “skin hunger.” Yep, it’s a thing. 

Simply put, it’s the deprivation you feel when you’re not physically touched — and it can lead to a whole lot of hurt.

I know a bit about what that hurt feels like. My husband Gil was a cuddler. After he died, my longing for physical contact was off the charts. If it weren’t for the constant affection of my two dogs — one still sleeps on Gil’s pillow, the other at my feet — I might have gone to a dark place.   

The good news, as our experts point out, is that there are many fixes — including a connection to pets — that can turn your hurt into happy. Pretty sure there are other folks in the In the Mood community who will find this reader’s question relatable.

I live alone, and I really miss physical interaction. And I’m not just talking about sex. I’m talking about any kind of touch. I heard this is called skin hunger. What can I do about this? — Submitted via email by J.D.

First thing: It’s great you are asking for help, because the effects of skin hunger are very real, says certified sex therapist Shadeen Francis, who says that skin hunger actually triggers a stress response in the body.

In the Mood columnist

In the Mood

For AARP’s In the Mood column, writer Ellen Uzelac will ask experts your most pressing 50+ sex and relationship questions. Uzelac is the former West Coast bureau chief for The Baltimore Sun. She writes frequently on sex, relationships, travel and lifestyle issues.

Do you have a question? Email us at sexafter50@aarp.org

Why skin touch matters. Our skin is our body’s largest sensory organ. As Tiffany Field, founder of the Touch Research Institute at the University of Miami School of Medicine, explains, the stimulation we receive on the skin goes to the brain, which releases various feel-good chemicals like serotonin, a neurotransmitter critical to mood regulation, and oxytocin, the so-called love or bonding hormone.

Without touch, a stress hormone called cortisol increases, which Field, who has a doctorate in developmental psychology, says can cause high blood pressure and an increased heart rate, fatigue and dizziness. If you get touch-deprived, you can also become anxious, depressed and stressed.

An absence of touch can lead to loneliness and social isolation, says Evelin Dacker, a family physician in Salem, Oregon. “We feel we’re not being seen or felt,” she notes. “Humans are mammals. Touch is part of the way we navigate the world.” 

Conversely, she adds, people who do get touched feel connected and cared for.

Skin hunger and older adults. Licensed marriage and family therapist Tameca N. Harris-Jackson compares skin hunger in older people to failure to thrive in infants.

When infants don’t receive touch after a period of time, she says, they can emotionally and medically atrophy. The same can happen to adults.

“The skin is an organ with nerve endings underneath it. It can let us know that we exist, that we matter. It grounds us,” says Harris-Jackson, founder of Hope & Serenity Mental Health Counseling and Wellness Center in Altamonte Springs, Florida.

But she says society tends to see older adults as unworthy of touch unless it’s for medical reasons.

Dacker agrees. Older adults, especially those in their 80s and 90s, are often cared for medically but not emotionally, and that can include a lack of touch, she says. “We have a culture that just doesn’t honor older people,” she adds.

Engage in self-touch. Touch is available to us in many capacities, first and foremost through self-touch, according to Francis.

“What would it be like to touch yourself more? Slow down in the shower and actually feel your hands running over your body,” she says. “I’m a big fan of oiling the skin — that’s a lovely way to feel touch.”

Licensed psychologist Rachel Needle recommends warm baths, soft clothing and self-massage with lotion to calm the body’s craving for tactile input.

Among Field’s recommendations:

  • Take a walk. Walking stimulates the soles of your feet. The bending of your knees, the swinging of your arms — these also stimulate the skin.
  • Rub your body on a foam roller, and use a handheld massager or vibrator. These are easy ways to apply pressure and touch to many different parts of the body. 
  • Sleep under a weighted blanket. The heaviness against the skin can help ease anxiety.
  • Massage the nape of your neck. The nerves at the nape of your neck go right to the brain, so this exercise can be extremely effective. All you need to do: Take three fingers and make circles, applying moderate pressure.

Add a social dimension to touching.  Appreciate and be aware of the touch you get in everyday activities like massages, manicures and haircuts, Needle says.

Francis suggests trying hobbies that involve touch, such as partnered yoga, tai chi or dance classes. Interaction with animals can also help. If you don’t have pets, she suggests volunteering at an animal shelter. 

Also, Francis says not to be shy about asking for a hug from close friends and family.

Ask yourself: Is touch the main issue? Before concluding that your issue is purely touch-based, licensed mental health therapist Rebecca Hartman wonders: “Living alone, what is your connection to other people?” and “Do you have emotionally intimate connections to others?” Check in on your emotional connections, she says, and, if they are lacking, that’s something for you to work on, too.

Harris-Jackson suggests hanging out with friends as a way to build connections. As she puts it: “Laughing with friends can release those endorphins and all the feel-good chemicals you need,” even without touch. “All of this helps you to be in a state where you feel you matter, that your existence matters.”

A parting thought. Needle, codirector of Florida-based Modern Sex Therapy Institutes, urges you to be gentle with yourself.

“Missing touch doesn’t mean you’re needy; it means you’re human,” she says. “Seeking connection is part of caring for your overall well-being.”   

Do you have questions about sex or relationships as a 50-plus adult? Send them to sexafter50@aarp.org.

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