My spouse constantly feels guilty and worthless even though they are a good person. How can I help?

Excessive, groundless guilt can be part of stress or depression, not a true measure of who a person is. Listen without rushing to deny their feelings, then gently remind them of their real goodness and efforts. Remind them that Allah is Most Forgiving and does not want His servants to sink into despair. Avoid criticism that adds to the weight on their shoulders. Encourage supportive habits such as enough sleep and open conversation. If the guilt is crippling or persistent, suggest they see a counsellor. Your patient support means a great deal. See mental health.