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I don't think you should feel guilty at all unless you are not doing as good a job as you can. Screw the self-rightous, judgemental, idealistic bullshit that some would spew as though they knew anything about the real world and be true to yourself.
There is a lot you need to think about but the first thing I would recommend is taking a long vacation to a faraway place with two goals - 1) relax and clear your mind and 2) decide what you really enjoy and figure out how to do more of it (and what you hate and how to do less of it).
But, before you do anything else, decide if you can live without all the perks that come with the money/presitge or whatever. If you can't then admit it and forget it and get back to work.
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