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This format seems to always frame therapy as shitty, and the other thing as actually really cool, if complicated.
I doubt it's intentional, but seems anti men's mental health. And honestly, that situation is so fucked up beyond measure, that micro-aggressions like this meme format is really hurting the cause. My two cents.
Funny meme though.
Someone else here linked to knowyourmeme.
Most of them are glaringly obvious, some are meta. This one though can easily come across as "stuff closeted misandrists say to get a pat on the back" if you don't know the format. Flanked by a good dose of nerd shaming.
I mean it's true, men will literally comment on the internet before going to therapy. We will also literally tie our shoelaces before going to therapy.
You know what, this is a good thing. This time actually reading the knowyourmeme article, they're a parody reaction thing. Some 20, 30 years ago a new pattern of insult cropped up here in Germany, things like Warmduscher and Schattenparker, "someone who takes warm showers", "someone who parks in the shadow". They were never meant literally-literally, but they did come up with a definite air of "you should be toughing it out", "being a bit sensitive about things aren't we". They were quickly balanced out by things like Drahtseilbungeespringer, roughly "steel cable bungee jumper".
Humour is serious business and usually the best weapon against shittiness we have, and if occasionally we have things that can be misinterpreted, like here, overall it's still worth it.