I told my psychiatrist I was going to go kill myself. He asked if I was paying for this appointment in check or cash.
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Explanation
Explain Bear
Listen here, you silly goose. You, the author, went to a doctor called a psychiatrist, you said you'd unalive yourself, and the psychiatrist responded by asking about payment. This is funny because psychiatrists are expected to care about you and not money, and that is ironic. You're so dumb; that's the point.