Most of the time I just have regular life distractions. Phone, door, dogs need fed or are barking and need reigned in.
But my biggest distraction is my partner, who is also a big Skyrim player. I try to only play when I'm alone, or face a never ending commentary:
"Why don't you....", "You should...", "There's one behind you", "Where is...", "Have you...", and my least favoured - "You're almost dead"
Makes me crazy
Try the criticisms: "Did you really have to kill him/her?", "What's with all the talking", "Why can't you kill that brat (Braithe)", and on and on and on.
It's gotten to the point where, once my partner walks in the room I will even turn SR off rather than keep playing just to keep the peace.
At least if I turn on Dragon Age, he can watch the characters have sex and that always shuts him up.