For me I can trace the upticks to times when I was willing to take a risk and be more honest with myself about what was going on with me or what I was struggling with. I think for a lot of years in therapy and off/on throughout, I chose to deal with more daily life hassles or small pieces of the traumatic experiences I've been through. In these later years, after a lot of CSA related trauma processing, I see a lot more clearly how the things that get in my way are related to that, and making these kinds of acknowledgements helps me move forward.