If someone tells you to "Get your head out of your ass," it means that you have to start paying more attention to what's going on around you. It could also mean that you have to stop being so consumed with yourself, and your own well being, stop being so conceited.

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.