We live in a busy, noisy, complex and exciting world: where almost no one has enough time to make and act on their personal choices.
Working effectively, by prioritizing, planning ahead and scheduling without creating a stressful mindset, can be grouped under the heading of time management. Yet, many people are chronically disorganized and seldom get around to the necessary activity of organizing their house, their workplace and their life. They can let "stuff" pile up around them and continue to excessively save stuff that they think they may someday need to reference or use. Their recurrent disorganization can result from a combination of indecision, procrastination and perfectionism which prevents them from managing their time and thus their life. A disorganized person defers decisions and tasks, choosing to take a path of avoidance that undermines their productivity. Cutting off themselves from acting on choices, options and alternatives also can cut them off from supportive relationships with people who understand the importance of managing time and energy. 
In this 24/7 global economy, feeling frequently rushed and impatient, becoming easily distracted and forgetful can come from environmentally induced attention deficit disorder (www.WhatisADD.info). Dr. Edward M. Hallowell was the first to name adult attention deficit disorder, or Adult A.D.D., back in 1995, and now he is taking on the rest of modern life in "CrazyBusy: Overstretched, Overbooked and About to Snap! Strategies for Coping in a World Gone A.D.D." (Ballantine Books, 2006).
Technology and activity overload tend to be the consequences of living where everybody is trying to do more in less time. Yet, we must be able to maintain our focus and restore our energy as we bend, stretch and bounce around at work and in our personal life. We know that if we don't prioritize our life activities, we'll find ourselves spread so thin that we won't have time for those people and things that are important to us.
How well do you manage your time?
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"A decision is a judgment. It is a choice between two alternatives. It is rarely a choice between right and wrong."