The question is - do they pile up to the point they cause distress, sometimes crushing distress, because no matter what, no matter how important it is - until you feel panic, you can’t do it?

If they don’t really matter and meh, then that’s fine. But if they do matter, and no matter what you can’t do it? That is when it starts to become a problem.

If that sounds familiar, then you might want to get checked.