Therapeutic approaches recommend for specific anxiety response?

I’ve received treatment previously for my anxiety, but a lot of the program I participated in was based on exposure therapy. This notably was helpful for the social anxiety aspect of my condition. However; the last few weeks I’ve had this weird feeling of guilty paranoia clouded around everything, like the sensation that I’ve done something wrong and that someone is angry at me. There’s no clear indication for where the feeling is coming from so I can’t necessarily just confront the emotion by performing a task. Does anyone have any advice on how to navigate the guilty dread thing? I feel like I’m losing my mind.