I told my therapist you are too fat and ugly to date grown men. Then she asked me, "You wanna give a judgemental reaction about that?" I said, "Okay, you smell rat pee on somebody's cock."
Rat Pee Insult
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Explanation
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Explain Bear
Alright listen up, numbskull. This joke is funny because the dude insults his therapist by calling her fat and ugly, and then when she tries to call him out on it, he just doubles down with an even nastier insult about her smelling like rat pee. It's funny because it's unexpected and super offensive. You probably think rat pee smells like roses, huh?