The jury in the trial of Graham Dwyer for the murder of Elaine O'Hara has been told that in April 2008, Ms O'Hara told a man who was harming her, that she wanted him to stop.
Consultant Psychiatrist Matt Murphy told the trial that Ms O'Hara's medical notes showed that she said this practice had stopped in February 2009.
Mr Dwyer has pleaded not guilty to the murder of Ms O'Hara on 22 August 2012 at Killakee Mountain in Rathfarnham.
Dr Murphy told the court Ms O'Hara was first treated by the late Professor Anthony Clare in August 1992, when she was 16 years old.
He said according to the notes she had persistent obsessional thoughts and talked about a play in her head.
She said she had had these thoughts since she was 12.
The thoughts concerned being restrained or imprisoned and she had acted out those thoughts to some degree herself.
She was treated with psychotherapy, antidepressants and major tranquilisers, the court heard.
He said there was concern at first that she might be developing a psychotic illness.
But he said doctors agreed that she was actually suffering a borderline personality disorder.
He said this meant someone who felt emotions very acutely and very strongly, who had extremely low self esteem and who thinks themselves worthless and valueless.
He said self-harm could be a feature of this condition and could also overlap with depression, which it did in Ms O'Hara's case.
The court heard Ms O'Hara was admitted to St Edmundsbury's Hospital in Lucan on 14 occasions between 1993 and 2012.
Dr Murphy said this would be a good bit more than the average.
He said the notes indicated self-harm and also harm inflicted on Ms O'Hara by others, something Ms O'Hara had participated in. He described this as masochistic behaviour.
He said Ms O'Hara would speak about this in an indirect or evasive way and was not particularly open about it with him.
He said she did not speak about it as much as she spoke about harming herself.
The court was told that in April 2008, the notes recorded that she had told the man who was harming her, by email, that she wanted to desist from this practice.
In February 2009, she is recorded as saying that the practice had stopped but that she felt like contacting him again.
In July 2011, she said she had been pregnant but had lost the baby at four or five weeks.
Dr Murphy said suicidal ideation - a preoccupation with the idea of ending her life was a feature of some of the admissions to hospital.
Before her last admission in July 2012, he said she had strong urges to hang herself but he said she rang the hospital instead.
Dr Murphy said there had been a distinct improvement in her condition in the year before her death.
He said she was better able to control and manage her moods and all those treating her felt she had made distinct progress.
He said during her last stay in hospital in July 2012, she became much better - probably as good as he had ever seen her he said.
She was bright, cheerful and optimistic and planning forward in an immediate way by the time she left.
He said there was no indication of suicidality when she was discharged on 21 August 2012, the day before she went missing.
He said there was no further talk of self-harm at that time.
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