Your question hits one of my pet peeves. The map is nice. the hand-drawn elements are well done. The labels and text look a little too perfect to go...
http://www.cartographersguild.com/mapping-challenge-archive/18120-march-april-2012-lite-challenge-entry-csu-johnsondales-new-found-lands.html I added...
Fractal Terrains doesn't always produce good effects with its painting tools, though. The biggest problem (for me, anyhow) arises when using brushes...
Start scribbling! Your first map most likely won't be what you want. Neither will your second. Probably not your third. Draw a few spirals. Draw some...