This is a comic I read regularly... it's a guest strip because the creator is on holiday this week.
Note, the joke is that all the characters are neurotic and the last panel shows the comic's creator receiving the psychiatrist's bill.
The first panel shows Hannelore Ellicot-Chatham who has OCD and is excessively squeamish panicking about all the fetishes she's seen.
In your face foot fetishists!
:O