Dreams involving car accidents can often symbolize a feeling of loss of control or anxiety about the direction your life is heading. The presence of your friends and family in the dream may indicate that you are concerned about their well-being or your relationships with them. The crash and the aftermath, where you are the sole survivor with severe injuries, could reflect feelings of guilt, fear of abandonment, or anxiety about facing challenges alone.

Waking up crying and feeling disturbed suggests that the dream has had a profound emotional impact on you. It may be beneficial to reflect on any current stressors or pressures in your life. Consider what aspects of your life feel out of control or concerning to you, and try to express your feelings, whether through talking to someone you trust or journaling.

This dream could be your mind's way of processing these feelings. Remember to take care of your emotional well-being, and if needed, seek support from friends or a professional.