Deriving from the ever popular SMH, SMHALATST means "Shake my head and laugh at the same time." This is usually used in cases involving a question,statement, or event that is too absurd or stupid to dignify solely with a simple SMH or an LOL.

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.