If the chaos is overwhelming, I start making lists. To write it down puts it in perspective.
I am going to die someday and I know where I am going.
Not to say "trophies" aren't wonderful, but they should not be your driving force.
The work is more important than the reward.
I cannot do my job unless I am fully open to whatever comes. You're almost naked emotionally.
I think not having a routine is what keeps me centered. I only have a routine when I am working.