When things become so dark and claustrophobic that you cannot find the way out, sometimes it is a good idea to just “chill”. You will never make the correct decision every time. But this is generally not a hanging offense. Relax and give yourself a break. We become such perfectionists that we just don’t allow ourselves any leeway. What purpose does that level of perfection serve? The important thing is “the important things”. Don’t worry about the minutia. It will take care of itself. And procrastination sometimes helps a lot. I remember a dear friend who used to say, “If you wait long enough most of what you felt you simply MUST get done by a certain date just goes away by itself.” And he was right, though he probably missed a lot of deadlines and family birthday parties.
Though this is meant to make you smile, sometimes the morass of problems is much too serious to smile about. Even then, time will take care of most of it. Simply dividing tasks into chunks that you can handle little by little, takes some of the pressure away. It is much easier to write some checks now, and save others for later, if the money for paying everything is simply not there. Clean part of your desk, don’t aim for all of it. Sort files, by drawer, not by file cabinet. Does anyone still use file cabinets? It is time to think about a paperless office. This could change your life for the better.
In any case, stop worrying about making wrong decisions. Just do the best you can. Try to keep up with paper on your desk. Deposit checks on time, and pay your bills. Set a little aside even from yourself. When was the last time you took those jars full of change to be counted at a bank. You could buy yourself something nice, or go out to a fine restaurant with that money. The best anyone can do is their personal best. And in doing so they have nothing to feel inadequate about. You can do this every day of your life. You will gain a sense of accomplishment which leads to happiness and contentment. Enjoy your life because this is the only one you will have (that we know of).

