The report adds to conflicting evidence about the character of the double-amputee runner, who killed girlfriend Reeva Steenkamp by firing his pistol through a closed toilet door in his home.
The defence has sought to support Pistorius' contention that he killed the 29-year-old model by mistake, fearing an intruder was about to attack him; the prosecution says the Paralympian is a jealous egotist who shot Steenkamp after a Valentine's Day argument.
He read excerpts from the psychological report, part of a court-ordered evaluation of Pistorius' state of mind over 30 days at a state psychiatric hospital.
The evaluation, which included a separate report by three psychiatrists, said Pistorius was not mentally ill when he killed Steenkamp early on February 14, 2013.
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That conclusion appeared to remove the possibility that Pistorius could be declared not guilty by reason of mental illness.
When physically threatened, Pistorius might have a fearful reaction that could "seem extraordinary when viewed from the perspective of an able-bodied person, but normal in the context of a disabled person with his history," said Roux, quoting from the report.
The lawyer also cited the psychologist as saying Pistorius has become severely traumatised since the killing and will become an increasing suicide risk unless he continues to get mental health care.
At other times, he has been calm and taken notes. Chief prosecutor Gerrie Nel has suggested Pistorius feigned distress in order to dodge a tough cross-examination; the athlete's camp has denied his emotional displays were fake.