It’s when you insert your thumb in the ass of a man while simultaneously cupping his balls with the same hand and stroking him off with your other hand- all while kissing.

A pick me is a woman that is willing to do anything for male approval. She will embarrass or throw other women under the bus to achieve this goal. The unfortunate thing about a pick me is usually the men they are trying to seek approval from are of poor quality and treat women badly, leaving little real benefit for the pick me.