Relationship therapist Hannah Tyer has developed "Touch Therapy," a card game designed to help couples explore sexual and emotional connection. The game features 30 guided exercises and is rooted in established sex therapy principles.

Development and Therapeutic Approach

Hannah Tyer, a relationship therapist with a private practice since 2018, created "Touch Therapy" as a deck of cards to guide couples in addressing sexual differences and fostering connection. Tyer, who is also an Occupational Therapist and Certified Sexuality Occupational Therapy Practitioner in Oklahoma City, Oklahoma, developed the game based on core exercises she has used in her practice. These practices aim to make intimacy more approachable and help couples connect with greater depth and presence, particularly for those experiencing difficulties with sex.

Tyer sought to share these therapeutic methods beyond her private practice. She collaborated with her wife, an artist, who handled the artwork and design for the product. Tyer stated that the idea was to share these therapy practices in a way that felt tangible and well-designed. The project was developed in their spare time and has since become central to their lives.

"Touch Therapy" is described as a deck of creative ways to connect with a sexual partner, rather than a traditional game. Its foundation lies in sex therapy principles such as sensate focus, mindfulness, somatic awareness, nervous system regulation, and consent-based touch. The objective is not to achieve a specific outcome or act, but to encourage couples to slow down and become aware of sensations in their bodies and between them. The cards provide structure to support couples, especially if intimacy has been challenging, and invite curiosity rather than performance, encouraging noticing sensations, checking in, adjusting, attuning to a partner, and staying present.

Content and Inclusivity

The "Touch Therapy" deck includes 30 OT-created activities that combine conversation with hands-on exercises. These activities are categorized into four areas: building foundational connection, sensory exploration, deepening sexual intimacy, and toy play. Examples of card prompts include placing a hand over a partner's chest while silently sending loving thoughts, or sensually dissecting a kiss by lingering at each point of contact and noticing textures. Other cards suggest explaining three unique ways one would like to be touched, or hovering a favorite toy over an erogenous zone to build anticipation.

Tyer noted that a common response from users is that "Touch Therapy" helps couples "shift gears" by creating a bridge between daily life and intentional connection, giving them permission to slow down. The game was designed to be inclusive, avoiding genital or gender-specific references. Tyer, who identifies as a lesbian, explained that many existing intimacy games did not work in her marriage due due to assumptions about specific body parts or gendered roles. "Touch Therapy" focuses on intimacy skills such as communication, consent, attunement, and somatic awareness, which Tyer states are relevant for all couples regardless of gender, orientation, or identity. The aim was for people to feel seen without needing to adapt the experience for themselves.

The game emphasizes broadening the definition of intimacy beyond penetration, highlighting that touch, closeness, or shared attention can become arousing when couples slow down and are present with each other. Tyer also noted that intimacy functions best when the nervous system feels safe, and immediately engaging in sexual activity can increase anxiety.

Production and Future Offerings

Tyer's transition from therapist to entrepreneur involved navigating the production process. She acknowledged the complexity of production, including numerous revisions, proofing rounds, and extensive communication with manufacturers, which required patience and trust. Less than a year after its creation, "Touch Therapy" is in its fourth printing and is available through more than 20 retailers. The game is sold for $29.99 USD.

Looking ahead, Tyer plans to develop more card games with new themes. Additionally, she is working on two massage oil candles designed to facilitate a ritual for couples to slow down, connect, and maintain presence together.

Key Facts

  • "Touch Therapy" is a card game created by relationship therapist Hannah Tyer.
  • The game features 30 guided exercises for sexual and emotional connection.
  • It is rooted in sex therapy principles including sensate focus, mindfulness, and consent-based touch.
  • The game avoids gender-specific or genital references to ensure inclusivity for all couples.
  • "Touch Therapy" is currently in its fourth printing and available through over 20 retailers.
  • Hannah Tyer is also developing new card games and massage oil candles.