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For me the best way to structure this has been being able to pick clients, and only work with a few every quarter; and then also building a relationship across just being the person that runs the campaign. I run my own agency, which started out of the same frustrations that you’re talking about.
As for the off-switch, well there is; but probably not when you’re working with an agency and they present you with an never ending stream of clients and issues. Even as a junior, you will need to set your boundaries, unless you really need the paycheck. Otherwise this will be your life for the next few years. Generally I do work 40-60 hours; and could easily creep into doing double. But that is not what life should be about.
