You find yourself having to cancel projects before completion because they took too long and conditions changed. You live in constant fear that you're not doing the right thing and waste time looking over your shoulder. Finally you can't shake the sense that things are out of control. Your time and attention is spent fixing mistakes and playing catch-up, in part because of missed deadlines. Life has become one unpleasant surprise after another.
Every organization has two principal challenges, focus and communications.
The key to alleviating stress is dealing with these two challenges. You can't do everything yourself. You need a team. To leverage that team you have to help them internalize what needs to be done. Every organization has a current set of issues.