I think this interaction right after counseling sums up something about our dynamic:

Him: I’m sorry I wasn’t there for you how you needed after you came out of the hospital.
Me: thank you for that. You asked me how I was, but then made it about you. (I prob didn’t need to say this, but it was the last thing I wanted to say and hadn’t).
Him: that’s just your opinion
Me: at some point my opinion/how I feel will need to matter to you
Him: you’re saying I don’t care how you feel, and that’s wrong
Me: I’m saying when I tell you my perception, feelings, and all you say is it’s my opinion, it kinda speaks for itself (he has said this opinion thing to me before)
Him: silence and goes outside to smoke

It’s progress I think? Especially since he did apologize, which is a big deal for him