I have no idea why, but conversations piling up stir up my anxiety a lot. Just the thought of having people waiting on a reply makes me sick and it becomes a cycle of avoiding people until it's too late for a polite reply. If you've dealt with this before please let me know what helped you/worked for you! 

(This isn't just colleagues or people I don't regularly contact, but also people I love and cherish. I guess that's the part that hurts more)