No one does it all, no one. Those who seem to, don't really - they just have the means to hire more help, that's all. This is going to be long but I hope it is as eye-opening for you as it was for me:
I went to the Massachusetts Women's Conference last week and attended a panel on Work/Life Balance, can we really have it all? Well I don't think it was the intent of the conference to say this, but the "successful" women on the panel were all lunatics. They were not relatable, at all. One woman was a senior executive who estimates that 75% of her life - including sleep - is work! She's divorced (no wonder, how can you tend to a marriage working that much) and her time with her teenage daughter was that at 5 AM (she gets up at 4:15), she goes and straightens her daugther's hair for her while she's still in bed, then bring her to her dad's house. If she sees her daughter before the end of the day (which for her is midnight - 4 hours of sleep) it's because she brings her daughter to meetings and they have take out for dinner there.
The second mom on the panel was a senior executive with 4 kids. She went on a week long business trip *TO CHINA* when her youngest was 2 weeks old. WTH?? Her answer to how to get the kids to school on time and dinner on the table was that her nanny does it.
The third was actually somewhat same but had no biological kids. Her three step kids were there on weekends so "motherhood" doesn't affect her career.
The fourth was the craziest of all...she and her husband owned a business and ran a successful charitable foundation so she was obviously successful, but wow. She said that maintaining your appearance was the most important thing you could do for yourself, your spouse, kids, clients and colleagues. She believed so strongly in this that she had a hair dressed come to her house to do her hair every morning at 7:15. Yes, really. And like the others, her nanny took care of everything at home.
You know what I learned from that panel? That if that's what it takes to make it to the top, no thank you! I'm happy with my mid-level job that allows me to actually see my family every day and spend time with my kids. That allows me to cook for them, and sleep for more than 4 hours a night, and take maternity leave. I'm happy with my messy home, with racing through the grocery store before it closes, with being 2 months overdue for a haircut. Just fine with late permission slips, and letting the lunch account dip negative every now and again, and having breakfast for dinner because I forgot to thaw the chicken.
You are in great company, so give yourself a break and give yourself some credit. Sometime when we don't have little people so dependent on us, we'll have time for the clean house, the updated files, the sorted mail, the bills paid on time, etc. Much of the parenting years really are spent in survival mode, particularly when both parents work. This part of life is HARD. When you struggle with your spouse, it's even HARDER (mine has bi-polar depression and a host of other issues that just add to the degree of difficulty). But it's also so, so good.
When I'm feeling totally overwhelmed, one of my first steps is to go to Flylady.net and just start with basic morning and evening routines. Then when I'm back into a groove with those, I add more to the routines - and suddenly, the overdue mail is actually sent...the 6 months of dust on the ceiling fan gets take care of...the box of summer flip flops that's still in my mudroom will get put away...the lightbulb that's been out in my stove for a year will get replaced...and I'll start to feel less overwhelmed and more on top of things. Baby steps.
Do go ahead and have this discussion with your doc and don't be afraid to try medication if he suggests it. Nothing wrong with using what's available to help yourself! Best wishes to you - please know that you are not alone!