My desktop is icon free, my tab bar has 27 tabs at present (in the current context; I use "Tab Groups"): I'm buying two different things that need heavy consideration - computing and sports equipment.
Indeed, my desktop has at most 5 icons. Yet everyone I see has a screenful of overlapping items. It seems like chaos.
If I have > 10 tabs open, I feel stressed because it means I'm not actually completing tasks. Anything more than this seems like ADD.