Unless I'm in meetings or calls, I find myself horribly inefficient throughout the work day and try to make it up during the evenings. Is this pretty standard? It often gives me a lot of anxiety and stress

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Yes -- the inability to manage one's time is partially why so many people work insane hours in this industry

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Second driver after unnecessary, low value iterations on work products.

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I have the same issue. Try clustering your calls close together so you have larger chunks of time free (or just block them to begin with). That helped me a bit. As well as the mindset of: I can go home once x and y are done. That makes it more likely I’ll try to knock these things out between two calls.

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My psychiatrist today revealed to me that I may have ADHD, still a hypothesis that he is still exploring but from my personal experiences and discussions with therapist, it seems likely.

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