Feelings of guilt are often associated with a sense of remorse or regret, and can be described as 'PANGS' of guilt. PANGS is a term used to describe a sharp, sudden, and intense feeling of distress or unease. This type of guilt can be caused by a variety of things, such as making a mistake, breaking a promise, or hurting someone's feelings. It can also be caused by a feeling of responsibility for something that has happened, even if it was out of one's control. Feelings of guilt can be difficult to cope with, but can be managed with the help of a therapist or other mental health professional.