I have a sleep disorder that is treatable with medication, but there are ups and downs. For the last several weeks, it's been more down than up. When I'm this poorly rested, it affects my cognition. My ability to concentrate is shot. I have fewer productive hours during the day. Often it's all I can do to keep my head above water. I haven't been able to do a weekly review in about a month. My GTD systems are not optimal and I'm keeping stuff in my head. There was a time when being in such a state would send my stress levels through the roof and ruin for me any possibility of enjoying life. I'd give up on the idea of doing anything meaningful, let alone any hope of "being good" at GTD. But of late I've come to realize that just like anything else you do it doesn't matter how many times you get off track with GTD. You can get back on the wagon at any time. Just clearing out one inbox, or even doing a quick mindsweep can begin putting me back on track. I'm sharing this because I've read more posts in this forum than I can count from people who struggle with falling off the wagon, and it's obvious that it's stressful and undermines their confidence not only in their GTD systems but in themselves. I want those of you who feel this way to know you're not alone, and I have learned that it's possible to get back on track any time your GTD practice is temporarily derailed. And that it's better to do GTD most of the time, the best you can, than to give up because you can't be perfect. If anyone wants to share their own challenges -- or solutions for getting back on track -- I think that would make a great discussion. I'm happy to share with people what I've learned that has helped me.