More than a year before Daniel Jack Kelsall allegedly stabbed Morgan Huxley to death, a doctor says he told her that he carried a knife home one night while having "intrusive thoughts" about killing someone.
"He told me he was having intrusive thoughts when he left his job of stabbing someone on the way home," general practitioner Dr Susan Allman told his trial on Thursday.
"He said he took a knife home late one night but didn't meet anyone."
Kelsall is accused of attacking Sydney businessman Morgan Huxley while he lay in bed in his Neutral Bay home on Sydney's lower north shore on September 8, 2013.
Mr Huxley, who suffered 28 wounds, was discovered by his flatmate covered in blood in his bedroom doorway.
Kelsall has pleaded not guilty to murdering and indecently assaulting Mr Huxley.
Dr Allman told the trial she had seen the now 22-year-old on May 15, 2012 for a consultation which lasted one and a half hours.
At some point during the consultation she said Kelsall's mother Lynne left the room.
It was then, she said, Kelsall revealed having the "recurring and persistent" thoughts.
He had not thought about the consequences of what would happen if he carried out his ideations, nor did he report having suicidal thoughts, she said referring to her notes taken immediately after the consultation.
Kelsall's father Mark has previously told the trial that his son was caring, understanding and empathetic.
Always a hard worker, he said Kelsall was excited about getting a job as a junior chef after moving to Australia from New Zealand in 2010.
But the 22-year-old had to leave that job after having increasing problems with his medication for bipolar disorder, so he started working at Sydney Cooking School.
By the beginning of 2012, Mr Kelsall previously said his son had become progressively worse, with the medication making him "dopey".
On Thursday Kelsall's barrister Christopher Watson put to Dr Allman that she had misunderstood what Kelsall had told her and that he had only thought things but never taken any physical actions.
"He did have an incident where he told me he had been having those thoughts as he walked home with a knife," she replied.
She also refuted Mr Watson's suggestion that the thoughts were a by-product of the medication he had been taking in the past.
The trial continues.
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