I can never tell if I'm the one being unreasonably needy and expecting more than a normal person would or if my needs are actually not being met. 
Small example, just what is bothering me currently: 

My boyfriend and I are long distance. We don't text often, we like phone calls. Sometimes getting him to stay on the phone with me is a hassle because he works long hours and wants to play video games with his friends afterwards, it's understandable and not a frequent issue between us. 
Sometimes though, I'll talk about something going on with me that I'd really just appreciate being cared about and he is just completely dismissive of it. Like it's not significant enough to him to talk about. 
I know it sounds stupid, but when I'm on my period I want to be taken care of so badly. He never does. The extent of what he's done is cuddle me when we lived together but nothing more. I have excruciating cramps. Today I vomitted bile and was writhing in pain. He was at work, I texted him multiple times about how miserable I was feeling and nothing. No response. He was online on Facebook, just ignoring my texts. One time we were on the phone and I was crying from the pain explaining to him how awful I felt and all I got from him was "yeah..." And I had a full blown episode over it. I just makes me feel so uncared about. 

I also called my mother last night. After a year of no contact with my family, it was a low point for me because I missed her and made an impulsive drunk decision to call her. He knows interaction with my family can set me back in a lot of ways. I texted him last night that I'd called her and wasn't doing okay. This morning he texted me a meme, didn't even acknowledge anything about my mother. When I said something about it he said he just woke up and was getting ready for work. Yeah, but you have time to go on fb, find a meme you think I'd find funny and send it to me but completely disregard something kind of pretty significant? 

I don't know. He always says how he cares is never enough for me and he does everything he can but it's never right for me. It's not all the time. Usually he's sweet, supportive, involved and helpful. He's not dismissive of my feelings and issues all the time but a lot of times, these kind of things happen. Some on a much larger scale than what I explained above, but I never know if it's me being overbearing or him being cold. (He has a tendency to be very cold, he has narcisst tendencies, if not NPD itself but he's undiagnosed).