It's been a long time, but for Dirge I had the DPS hotbars, had mostly macroed together dps skills and and "buffs" for dps. Then any skills in those macros that were situational, were on another Shift+ bank. Then I had ctrl+ and alt+ for lesser priority stuff. Many skills had similar timers, that just scream "macro & mash us together!"
Rarely did I click, mostly stuff that was buffs ect, and I had all of those on the first couple pages of spells/skills window, same with anything else that didn't require twitch timing. Saved some hotbar space too. Did the same for most other classes. IIRC you can open you social window and click off macros from there too? I did something like that for some of my raid/group macros for chat stuff.
I hate clicking shit all over like DDR, I'd go insane playing that way.
The default settings for the game are shit too, there's some stuff you need to change in there to make everything work better, honestly I just can't recall what those things are right now lol.