Do you draw solely with mouse+keyboard? no use of brushes and paints?
To be fair I'm a novice at designing, but yes I do use mouse and keyboard. I don't use brushes or paints, and I don't download custom brushes (I see what I can do with stock tools). If you have a tablet they are great for helping you get into it but not essential to the point where you should buy one for the sole purpose of graphic designing (unless it was your only job or something).