Well...its when you shit, and fall back in it.

Mostly its something you wish upon someone.

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.

Very Southern U.S. way to tell someone to go fuck themselves.