GTD Times: Being comfortable with letting things get out of control

Question: I listened to your Webinar on Procrastination (you can find this Webinar on GTD Connect, our online learning center) and have found that I have trouble starting to "do" anything when I know there is a lot of unprocessed stuff.  I have the type of job whereby e-mails, paper, and other things accumulate rapidly so I am often "stuck" with the inability to start on the action list if my Inbox (both paper and electronic) are filling up  with unprocessed items.  I would be interested in a...