Are things you need to get done falling between the cracks? Does taking an entire day off seem impossible?
Maybe you need a time-management system.
Using GTD, Pomodoro and FranlinCovey's Focus methods to determine which is more useful in managing time. (The answer is: Whichever works for you is the best - take bits from every one). A good read for you - especially if you don't have time to read it.