I have been in this position before.. except it was me doing all the hurting and breaking my (ex) boyfriends heart. I beat myself up for it every day.. but I have learned that I need to worry about my self and make myself happy.. do you thing that he is at that point.. maybe (don't take it as I am telling you to do something please) he needs to work on himself and find out who he is and where he wants to go in life. I fell that life is to short to not take care of our health and make ourselves happy first.. this could be something you two can talk about.