-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 EV3hOjQKAlxup4d8HicLgVans4nQFtNdtnxYGO3O3kplKo87jXuLGXA0XDKoOcB8
 rRDURGp3tfGc9CQGmpqBww==

<SEC-DOCUMENT>0001131676-04-000002.txt : 20040505
<SEC-HEADER>0001131676-04-000002.hdr.sgml : 20040505
<ACCEPTANCE-DATETIME>20040505104926
ACCESSION NUMBER:		0001131676-04-000002
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20040504
FILED AS OF DATE:		20040505

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			OAK INVESTMENT PARTNERS X LTD PARTNERSHIP
		CENTRAL INDEX KEY:			0001131676

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-20488
		FILM NUMBER:		04779981

	BUSINESS ADDRESS:	
		STREET 1:		ONEGORHAM ISLAND
		CITY:			WESTPORT
		STATE:			CT
		ZIP:			06880
		BUSINESS PHONE:		2032268346

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			PSYCHIATRIC SOLUTIONS INC
		CENTRAL INDEX KEY:			0000829608
		STANDARD INDUSTRIAL CLASSIFICATION:	SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093]
		IRS NUMBER:				232491707
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			0430

	BUSINESS ADDRESS:	
		STREET 1:		113 SEABOARD LANE
		STREET 2:		SUITE C-100
		CITY:			FRANKLIN
		STATE:			TN
		ZIP:			37067
		BUSINESS PHONE:		615-312-5700

	MAIL ADDRESS:	
		STREET 1:		113 SEABOARD LANE
		STREET 2:		SUITE C-100
		CITY:			FRANKLIN
		STATE:			TN
		ZIP:			37067

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	PMR CORP
		DATE OF NAME CHANGE:	19920703

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	ZARON CAPITAL INC
		DATE OF NAME CHANGE:	19891116

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			OAK X AFFILIATES FUND LP
		CENTRAL INDEX KEY:			0001143824
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-20488
		FILM NUMBER:		04779980

	BUSINESS ADDRESS:	
		STREET 1:		ONE GORHAM ISLAND
		CITY:			WESTPORT
		STATE:			CT
		ZIP:			06880
		BUSINESS PHONE:		2032268346

	MAIL ADDRESS:	
		STREET 1:		ONE GORHAM ISLAND
		CITY:			WESTPORT
		STATE:			CT
		ZIP:			06880

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			OAK INVESTMENT PARTNERS VI LP
		CENTRAL INDEX KEY:			0000933938
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-20488
		FILM NUMBER:		04779982

	BUSINESS ADDRESS:	
		STREET 1:		ONE GORHAM ISLAND
		CITY:			WESTPORT
		STATE:			CT
		ZIP:			06880
		BUSINESS PHONE:		2032268346

	MAIL ADDRESS:	
		STREET 1:		ONE GORHAM ISLAND
		CITY:			WESTPORT
		STATE:			CT
		ZIP:			06880

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			LAMONT ANN H
		CENTRAL INDEX KEY:			0001199270

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-20488
		FILM NUMBER:		04779983

	BUSINESS ADDRESS:	
		STREET 1:		ONE GORHAM ISLAND
		CITY:			WESTPORT
		STATE:			CT
		ZIP:			06880
		BUSINESS PHONE:		2032268346

	MAIL ADDRESS:	
		STREET 1:		ONE GORHAM ISLAND
		CITY:			WESTPORT
		STATE:			CT
		ZIP:			06880
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgar.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2004-05-04</periodOfReport>

    <issuer>
        <issuerCik>0000829608</issuerCik>
        <issuerName>PSYCHIATRIC SOLUTIONS INC</issuerName>
        <issuerTradingSymbol>PSYS</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001199270</rptOwnerCik>
            <rptOwnerName>LAMONT ANN H</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O OAK INVESTMENT PARTNERS</rptOwnerStreet1>
            <rptOwnerStreet2>ONE GORHAM ISLAND</rptOwnerStreet2>
            <rptOwnerCity>WESTPORT</rptOwnerCity>
            <rptOwnerState>CT</rptOwnerState>
            <rptOwnerZipCode>06880</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0000933938</rptOwnerCik>
            <rptOwnerName>OAK INVESTMENT PARTNERS VI LP</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>ONE GORHAM ISLAND</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>WESTPORT</rptOwnerCity>
            <rptOwnerState>CT</rptOwnerState>
            <rptOwnerZipCode>06880</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001131676</rptOwnerCik>
            <rptOwnerName>OAK INVESTMENT PARTNERS X LTD PARTNERSHIP</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>ONE GORHAM ISLAND</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>WESTPORT</rptOwnerCity>
            <rptOwnerState>CT</rptOwnerState>
            <rptOwnerZipCode>06880</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001143824</rptOwnerCik>
            <rptOwnerName>OAK X AFFILIATES FUND LP</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>ONE GORHAM ISLAND</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>WESTPORT</rptOwnerCity>
            <rptOwnerState>CT</rptOwnerState>
            <rptOwnerZipCode>06880</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <derivativeTable>
        <derivativeTransaction>
            <securityTitle>
                <value>Option (Right to Buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>22.36</value>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2004-05-04</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>4000</value>
                </transactionShares>
                <transactionPricePerShare>
                    <footnoteId id="F3"/>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <footnoteId id="F1"/>
            </exerciseDate>
            <expirationDate>
                <value>2009-05-04</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>4000</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>4000</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                    <footnoteId id="F2"/>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value></value>
                </natureOfOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">The Director Options became exercisable as to 1,000 shares on May 4, 2004, with the remainder becoming exercisable for an additional 1,000 shares on each of the first, second and third anniversaries of May 4, 2004.</footnote>
        <footnote id="F2">Includes Director Options to purchase 3,937 shares of Common Stock, which are held by Ann H. Lamont on behalf of Oak Investment Partners X, Limited Partnership (&quot;Oak X, L.P.&quot;) and Director Options to purchase 63 shares of Common Stock, which are held by Ms. Lamont on behalf of Oak X Affiliates Fund, Limited Partnership (&quot;Oak X Affiliates, L.P.&quot;).</footnote>
        <footnote id="F3">Not applicable</footnote>
    </footnotes>

    <remarks>Remarks

Ann H. Lamont is a Director of Psychiatric Solutions, Inc.  Ms. Lamont is a Managing Member of Oak Associates VI, L.L.C., the General Partner of Oak Investment Partners VI, L.P.; a Managing Member of Oak Associates X, L.L.C., the General Partner of Oak X, L.P.; and a Managing Member of Oak X Affiliates, L.L.C., the General Partner of Oak X Affiliates, L.P.

Each Reporting Person disclaims the existence of a &quot;group&quot; and disclaims beneficial ownership of any securities (except to the extent of such Reporting Person's pecuniary interest in such securities) other than any securities reported herein as being directly owned by such Reporting Person, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of any such securities for purposes of Section 16 or for any other purpose.</remarks>

    <ownerSignature>
        <signatureName>Ann H. Lamont</signatureName>
        <signatureDate>2004-05-05</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>Ann H. Lamont, Managing Member of Oak Associates VI, L.L.C., the General Partner of Oak Investment Partners VI, Limited Partnership</signatureName>
        <signatureDate>2004-05-05</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>Ann H. Lamont, Managing Member of Oak Associates X, L.L.C., the General Partner of Oak Investment Partners X, Limited Partnership</signatureName>
        <signatureDate>2004-05-05</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>Ann H. Lamont,  Managing Member of Oak X Affiliates, L.L.C., the General Partner of Oak X Affiliates Fund, Limited Partnership</signatureName>
        <signatureDate>2004-05-05</signatureDate>
    </ownerSignature>
</ownershipDocument>

</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----