Getting to the Root
You can learn breathing exercises for the panic attacks. You can challenge the guilty thoughts when they surface. Those skills help you get through the day. But they don't address why you panic in the first place, or where the guilt came from, or why you still hear those voices telling you you're wrong.
Spiritual abuse goes deep because it starts early and gets reinforced constantly. The messages about your worth, your identity, your right to exist as you are get wired in before you have the capacity to question them. Understanding how that happened and why you believed it changes what's possible now.