Great productivity or mental health problems?

I think I got this images from an article on Bored Panda that presented illustrations for people with mental health problems. It kind of shocked me how some of the things I try to do, like maximising the potential of every day (and of every hour, if possible) might be a red flag. 



I joke about having anxiety all the time, but I do dislike that guilt sensation that starts since waking up like I HAVE TO do something. I think I mostly managed to turn those feelings into having a productive personality, but I do wish I could be more relaxed. 

Can you be calmer without feeling like you are not doing enough? How does that work?