Accused murderer Daniel Jack Kelsall admitted he sounded "psychopathic" when he described thoughts of stabbing a "total random" and hiding the body, his trial has heard.
Kelsall, 22, is accused of attacking Sydney man Morgan Huxley in his bed in his Neutral Bay apartment in the early hours of September 8, 2013.
The 31-year-old was discovered by his flatmate lying in blood in his bedroom doorway.
He had been stabbed 20 times.
Psychiatrist Dr Matthew Boulton said Kelsall had been referred to him in 2012 after he told a GP he was having "intrusive thoughts" about killing.
During the session in June 2012, Dr Boulton said his notes from the consultation state Kelsall had remarked "it sounds psychopathic".
"He had no idea why he thought those kind of things and his going to jail depended on whether or not he wanted to get caught," Dr Boulton read from his notes in the NSW Supreme Court.
Kelsall said it would probably be a "total random with a knife" and that he would "hide the body".
But Dr Boulton told the court Kelsall had insisted he "absolutely did not want to kill anyone".
"(Kelsall said) he had those thoughts when his depression was at its worse."
Being on antidepressants had helped, Kelsall had added.
"It was the case, wasn't it, that he (Kelsall) was frank with you about the topic," Kelsall's barrister Christopher Watson asked Dr Boulton.
"Yes," he replied.
"You asked him whether he still continues with those thoughts and he said, `Absolutely not'?"
"Yes," the doctor said.
"If you thought he posed any danger to anybody you would have contacted the authorities about it?" Mr Watson asked.
"Yes," he replied.
Kelsall's father Mark has previously told the trial his son was caring, understanding and empathetic.
But after moving to Australia from New Zealand in 2010 the 22-year-old was having increasing problems with his medication for bipolar disorder and there was talk of him being mis-diagnosed.
The trial continues.
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