therapists can't push medication on you, they aren't medical doctors and aren't licensed to prescribe medication. and even psychiatrists, who would prescribe meds, can't easily force you to take anything you don't want to take.
therapists talk with you and help you see where your thoughts make you feel worse (and guilt is definately on that list) and help you figure out how to solve problems. they would be able to help with things like figuring out how to get your work done the way you want, or how to stop hurting yourself when you're ready to do that. they can help you learn different ways of dealing with emotions.
the next time you start feeling guilty, ask yourself what you would say to someone else who had done the same thing..... was whatever they did really that bad, or is it getting blown out of proportion? what would you tell them to do to fix the situation? would you want them to beat themselves up over it emotionally? or physically?........ its important to try and make sure that you aren't setting a different standard for yourself than for everyone else. you're a human, and by nature that means that you'll make mistakes, and bad decisions, and do something you regret, etc..... those aren't reasons to torture yourself.
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