This was me, with a huge side helping of imposter syndrome, I didn’t even realise I was doing 2 people’s work, I thought I must be inefficient and kept trying harder. I got really really ill in the end, got a medical retirement. The first thing is Don’t Tell Anyone that you are doing it. Set yourself some targets for the client facing stuff, never let it overrun, work towards finishing 5 or 10 minutes early and then staying put while you complete any admin. Wear headphones whenever you can, people will look for someone else to interrupt. If they still come to you, just say you are in flow and could they send you an email. Do emails twice a day, first thing and last thing. Don’t check in between.
Care less, everyone else may be equally busy, or have reasonable adjustments, but you are not their pack animal, your responsibility is to yourself and your family, work don’t care about you or they wouldn’t have put you in this situation. Keep your work throughput as it is, get it done quicker, but hang on to it , waiting for further info or needing to think about it a little longer. Take a walk every lunchtime. Start with 10 minutes, add 5 minutes each week. 45 minutes walking,preferably in green spaces , kills stress. It’s actually very productive- explain that it helps you work through stuff, because it will.
Stop killing yourself to schedule medical appointments and family stuff out of office hours. No one else does, if you think that’s not your workplace culture then they are doing it discreetly, and so can you. Don’t accept additional responsibilities without asking for adjustments to your workload, really, everytime. Never sack off training, see it as a little r&r . Start working towards only doing your paid hours, leave a little earlier , again increasing incrementally.
You will make yourself some time , if you can do this. Please don’t immediately put it into your domestic situation, start some new habits that are for you, a swim on the way home, a drink with a friend, date night or whatever. Look after yourself.