Spiritual work is work done using the elements of the earth, ancient symbols, tools, and thought processes in order to achieve a desired goal. Spiritual work is very much spiritual. Meaning that most of the work being done is unseen. This is why a lot of people call spiritual practices "woohoo". It is hard to explain the unexplainable.
Like many people, I have struggled with anxiety all my life. When I was a child I recognized it as my heart skipping a beat anytime I was in an uncomfortable situation or met with an emotional trigger. As I got older, the anxiety morphed into intrusive thoughts, self-doubts, constant worry and intense nervousness and confusion when in social scenes.