I am new to the site so please bear with me. I am 48 years old started with vitiligo when I turned 40. It was just a small patch on my arm - it has since spread under both my arms and a few patches on the back of my neck and my hands -now it is statin g on my ankles and legs. It is very spotty looking. I have gone to a few different dermatologists over the last 8 years - one told me I was vain and get over it ( and he is supposed to be one of the best - another referred me back to him and told me that there is nothing she could do - and that is at a teaching hospital!!) I haven't gone back to anyone since but it is starting to spread this year and I am so unhappy with how it looks. I own a business and am under alot of stress especially in the last two years because of the economy. Does stress make it worse? Where should I start again?