Do you ever feel like everyone around you is doing some substance to make them work faster or better, and that you'll somehow fall behind or be at a professional disadvantage if yo don't?
I don't live in Silicon Valley any longer though... so that might be part of the reason I don't feel the pressure.
Right now I might call myself a big fish in a little pond (not really, I am more humble than that) but compared to SF where you are a small fish in a big pond ... there is a lot more pressure to stand-out and be excellent.