I think the dreamer was deeply involved with her boyfriend. That's the only reason why the ex visited her dream. Her fear is that he dumped her for another girl. There is a friend of the dreamer, may be a secret admirer who likes her. But she never considered him because she felt that she would be laughed upon if she was with him.
She feels that she was used for something in her earlier relationship.
Her ex boyfriend must have been caring due to which she is feeling insecure about getting caught up with some health issues. She does have people around her but still feels alone without her ex.
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