The first draft of Changeling Second Edition had a different system for Clarity than the one that made the final product, and had one mechanic in particular that I loved. Succeeding at a breaking point roll granted a condition that could be resolved by reaffirming the character's place in the world to gain a clarity dot.

It needed some polish but the core idea was that it incentivized characters to actively confront their trauma in controlled situations. Mechanically represented by intentionally provoking the roll in circumstances that provide enough bonuses to make success very likely....