Neurotic guilt - is not the result of the real harm one has done intentionally to persons. It is produced by immature side of one's conscience. Neurotic guilt is a psychological disturbance in a person. It is usually derived from immature or rigid value system.
Neurotic guilt is superimposed on the deeper guilt as a camouflage.
The therapist must reject the behavior, but accept the person. Seek to block the irresponsible, acting-out behavior . Reward responsible behavior with approval . Whatever you are told by someone should die with you. That is the first and most important rule in any counseling situation in the church and outside.