Moors murderer Ian Brady has been denied the use of a pen because of fears he will use it as a weapon against other patients at the psychiatric hospital where he is being kept.
On the second day of a mental health tribunal being held in public, a lawyer representing Ashworth Hospital said he has "chronic levels" of anger which "can erupt on the smallest provocation".
The serial killer, who has been at the maximum security hospital for 26 years, wants to be transferred to a prison to spend the rest of his life behind bars.
Sky's North of England Correspondent Mike McCarthy, who is watching proceedings, said: "Eleanor Grey QC portrayed Brady as an irritable and frequently hostile and angry individual who lied about the past and targeted other patients or members of staff with 'verbal tirades'.
"She said he was aloof and suffered paranoia and suspicion which made him fearful of attack from fellow patients."
Ian Brady in police custody in 1965 Dr Adrian Grounds, a forensic psychiatrist who has interviewed Brady several times over 10 years, said he has been known to target staff with "intense ill-feeling and aggression".
He described him as a "very opinionated man" who occasionally shouts at the television and does not form close relationships.
However, he said Brady no longer requires treatment for mental illness, adding that although he has a severe personality disorder, it does not amount to psychosis.
Miss Grey QC said: "(Brady) is extremely socially withdrawn or isolated, at least since the withdrawal of his pen.
"He's got a nocturnal existence really, only coming out at night time when other patients are not there.
"At present he's currently sleeping under the covers but with his clothes on."
Myra Hindley and Ian Brady became known as the Moors murderers The tribunal heard Brady has been spotted watching static on a television screen in his room at Ashworth.
He has made it known that he wants to starve himself to death, although Dr Grounds said his hunger strikes are protests against his treatment, not a sign of suicidal intent.
The 75-year-old left the hearing at Ashworth after around an hour, leaving doctors and lawyers to continue without him.
The tribunal is being relayed by video link to Manchester Civil Justice Centre, where journalists and victims' relatives have been watching on TV screens.
The hearing, which is expected to last about a week, was postponed last July because Brady suffered a seizure.
Brady and his partner Myra Hindley were responsible for the murders of five youngsters in the 1960s.
Some of their victims were sexually tortured before being buried on Saddleworth Moor above Manchester.
Pauline Reade, 16, John Kilbride, aged 12, Keith Bennett, also 12, Lesley Ann Downey, 10 and 17-year-old Edward Evans were all victims of the pair.
Keith Bennett's remains were never found, despite extensive searches and police taking the killers back to the Moor in 1987.
Hindley died in jail in November 2002, aged 60.
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