Really freakin retarded. More retarded than eTarded (when used in the non-drug sense).

For use by the elite to scoff at the lesser beings.

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.