When mental health practitioners use methods that are totally lacking in scientific support, particularly when the treatment has been demonstrated to be harmful and evidence-based alternatives are available, they should be liable for malpractice. Organizations like the American Psychological Association claim to support scientific standards but leave loopholes that allow psychologists to practice pseudoscientific nonsense. Several steps must be taken to close the gap between science and practice in mental healthcare, including malpractice reform, improved guidelines based on evidence, consumer education, and a commitment to scientific practice by professional organizations.