Its my first time working at an agency. Are they usually this fragmented and disorganized. I can't keep up and it's giving me a lot of anxiety.

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Yes. Maybe see if you can shadow a senior to observe how they handle it.

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Sadly, yes. They are all a mess. I don't know how it got this way. There was much better structure 15-20 years ago. Just do your best to be organized on your end. I keep cma notes when it's all falling apart, knowing I did everything I could to keep things afloat.

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I would say yes. But some agencies are more structured and organized than others. Give it a try accepting that chaos is an inherent part of this industry (and life). If you feel is too much, try to look for another agency that has a more organized process. Sometime smaller companies are better at that.

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