It's Pepe the Frog Psychologist, not "Smoking Pepe", btw.
Shills trying to trick anons into a Pavlovian response pattern to the meme that is especially threatening to their psyop. Makes sense, psyops are understood using psychology.
By posting offputting and choleric text alongside and inside Pepe the Frog Psychologist memes, their desperate hope is that Anons will recoil or become offput to the symbolism behind the meme, and therefore by extension recoil and become offput to the whole narrative surrounding psychology as such.