Couples therapy sessions are designed to strengthen the relationship between individuals. Couples therapy can assist persons who are having complaints of intimacy, sexual, and communication difficulties. Strategies utilized are designed to improve communication skills, and identifying reasons for couple distress. Treatment modalities utilized can differ depending on the individualized treatment. These strategies can include: psychoanalytic couples therapy, object relations couple therapy, ego analytical couples therapy, behavioral couples therapy, integrative behavioral couples therapy, and cognitive behavioral couples therapy. The purpose of couples therapy is to restore a better level of functioning in couples who experience relationship distress. The reasons for distress can include poor communication skills, incompatibility, or a broad spectrum of psychological disorders that include domestic violence, alcoholism, depression, and anxiety.