One of WA's most notorious sex predators remains a danger to the community, a psychiatrist has told a Supreme Court hearing.
Since being classified a dangerous sexual offender Michael McGarry's "deviant" sexual interests had decreased, psychiatrist Dr Gosia Wojnarowska told the court.
However, his "narcissistic" personality increased his risk of reoffending, she said.
McGarry, 50, has been convicted of 40 sex crimes against young women and girls in a shocking record stretching back to 1985.
Among McGarry's victims was an 11-year-old girl he saw pictured in a newspaper, who he tracked down and assaulted.
In 2009, McGarry was jailed indefinitely after breaching strict bail conditions after being released from prison a week earlier.
Today marked the first of McGarry's annual dangerous sexual offender review hearings, before Justice Stephen Hall, considering whether to release McGarry.
Dr Wojnarowska said McGarry had come to a session with her, with prompts written in his notes to answer questions.
"At times it appeared he was almost quoting from the notes," she said.
Dr Wojnarowska said during her 41 therapy sessions with McGarry, it appeared he was trying to "impress" her with his knowledge of release requirements and was referring to notes.
"I thought Mr McGarry is a very confident person, he doesn't have problems with memory, so I didn't think he required the notes," she said.
She submitted a psychological report, finding McGarry's risk of reoffending had not significantly reduced.
She noted some improvements in his behaviour, such as a desire not to return to prison and a decrease in "deviant" sexual interest.
However, Dr Wojnarowska found McGarry's "narcissism" put him at a higher risk of reoffending.
The court heard McGarry has been taking anti-libidinal drugs for more than three years.
Dr Wojnarowska said McGarry had indicated he wished to stop taking the drugs because of side effects, and voiced concern this could lead to further offending.
"He indicated, at least initially, he would comply with taking the pharmacological and psychological treatment," she said.
The hearing continues.