Sounds to me like you have a huge opportunity to decide value vs. risk in what you are choosing to take on. A key to GTD is balancing what you create with what you complete in a way you feel good about. From what you describe, you are disproportionately creating vs. completing, with no real filters yourself for what's valuable to take on now vs. what holds a risk with saying no or deferring.
I would really go after your higher Horizons of Focus if I were you (as described in Making It All Work or the article Levels of Your Work on our free articles site) to get clearer about your priorities. Sounds like you're not applying your own filters to what you're taking on.
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