The doctor-patient communication and the aging of the patients attended by the general practitioner are two important concepts that constantly impact medical consultations. This article raises some refl ections and conceptualizations about the main psychological phenomena that have a special importance in the doctor-elderly patient communication and relationship: 1) Stereotypes and prejudices; 2) Regression; 3) Transference, countertransference and resistance; 4) Rapport; 5) Empathy; and 6) Paternalism. The GP must be alert about what affecting the communication with the old man and he should put the means to get a warm relationship. Consequently, to achieve effective communication with an older adult: The GP have to take it easy; to be patient; avoiding stereotypes and prejudices; allowing the patient to establish a benign regressive relationship, until if it is possible due to the biopsychosocial context of the elderly patient, he can begin the non-regressive relationship again; recognizing fact of transference, which put the doctor in another place, is inevitable, but taking into account that it greatly affects his relationship with the patients; avoiding countertransference; considering that the therapeutic alliance or rapport is particularly fragile in elderly patients with chronic diseases; giving greater importance to empathy; knowing that the elderly patient frequently accepts the authority of the doctor, but avoiding falling into an iatrogenic paternalism; and smile. been labelled sociophysiology. This process can in luence the health of both parties in the doctor-patient relationship, and may be relevant to third parties [2]. Communication between the patient and doctor is extremely important, especially for the treatment of patients with chronic diseases [3]. In the elderly there is often multimorbidity: osteoarthritis, arterial hypertension, cardiovascular disease, depression, COPD, loss of visual and auditory capacity, falls and immobility, osteoporosis, dementia, delirium, urinary incontinence, etc., and 20% of them are patients with disabilities. Further, multimorbidity implies polypharmacy, with an average of 4.5 drugs prescribed by the doctor to the older patient. To all this must be added that with aging increases the risk of developing CNS disorders and there may be a cerebral de icit associated with psychological symptoms that re lects psychiatric disturbances. In addition, the elderly may present with Alzheimer's disease, vascular dementia, alcoholic dementia, brain neoplasia, or cranioencephalic trauma, all of which have serious implications for doctor-patient communication [4,5]. The characteristics of the doctor-patient relationship and communication are different in the presence of an elderly Psychological phenomena in the doctor-Elderly patient relationship