Systems and methods for providing respiratory therapy to a subject respond and/or adapt to the detection of an occurrence of a respiratory event. For example, the pressure level of a pressurized flow of breathable gas may be increased responsive to the occurrence of one or more apneas. Based on usage information spanning more than one therapy session, such as the tracked pressure levels, a starting pressure level for a pressurized flow of breathable gas for a subsequent therapy session is determined. The starting level at the beginning of the subsequent therapy session(s) may be the 90% pressure level as determined during the preceding period during which usage information has been gathered.