A defence psychiatrist has told a Jerusalem court that accused child sex offender Malka Leifer is not fit to be extradited to Australia to face charges.
Dr Gregory Katz, who works in Jerusalem's Kfar Shaul Mental Health Centre was cross-examined on Wednesday.
Melbourne sisters Dassi Erlich and Nicole Meyer have been at the forefront of a campaign to have Leifer sent back to Australia to face 74 charges of child sexual abuse and rape.
The charges stem from Leifer's time as principal of the ultra-orthodox Adass Israel School in Melbourne.
Now in the 47th hearing since Leifer was arrested in Israel last February, the court continued to hear statements on her mental health and capacity to be extradited.
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Both Erlich and Meyer travelled to Israel specifically for this closed hearing in the Jerusalem District Court.
At the conclusion of the hearing, Erlich stressed how difficult it was to sit in the room with Leifer and her supporters.
"It was hard, it was hard to sit there behind her family who are hoping for a very different outcome than we are," Erlich told AAP.
"It was hard to sit there watching them hold Jewish objects, praying to a God and we're wondering what God they're praying to that protects abusers."
"It was hard to hear them talking about her mental health. What about our mental health? This has gone on for so long, we just want this to end."
Erlich stressed that her and other survivors of Leifer's alleged abuse, had no idea who to trust anymore.
Israeli Deputy Health Minister Ya'acov Litzman was summoned for questioning by police last month on the accusation he tried to source psychiatric evaluations in favour of Leifer.
Manny Waks, the CEO of Kol V'oz, an organisation preventing sexual abuse in the Jewish community, expressed his support to Erlich and her sisters.
"My thoughts are with the courageous sisters - Nicole, Dassi and Elly - who travelled especially for this hearing," Waks told AAP.
"Hopefully this entire saga will soon come to a conclusion with Leifer being put back on a plane to Australia to finally face justice."
Erlich reiterated that she and her sisters were not planning to give up.
We'll continue fighting to make sure Malka Leifer is not able to hurt anybody else," Erlich said.
"We're doing this for every victim that goes through court processes and gives up because of how difficult and triggering it is."
The cross-examination of defence psychiatrists will continue next week.
