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Jame's Horde Leveling Guide - Chapter II (31-41)
Chapter II (31-41) - Journey from the Thousand Needles to Badlands
This is v2.0 of the guide. It has been revamped as mentioned in this news post to adapt to patch v2.3 changes. You can still find the old version of the guide here. At the same time, many other improvements have been made:
- Introduction/Addons section has been updated
- Kill everything on your way rule has been lifted unless you lack experience compared to the progress described in the guide
- Both big grinding sessions at the start and at the end of the original guide have been removed and replaced by quest circuits
- Quests that aren't elite anymore have been integrated
- New patch 2.3 content has been integrated
- Maps have been remade and a lot of errors have been corrected
- Detailed map for Shimmering Flats circuit has been added
- Dustwallow Marsh circuits have been added
- The guide now takes you to level 41.
- Overall grinding has been decreased and leveling should be possible at a faster pace than before
Big thanks to Subere for his beautiful map/picture editing
This guide starts at level 31, if you need guides for any other level range (from 1-31 for example) please take a look at this page. This guide is a follow up of the previous chapter of my horde leveling guide, where a lot of pre-questing and flight-path gathering has been done already (especially for Blood Elves).
This guide is made for FAST leveling through the use of Optimized Quest Circuits. With this guide, questing will be very efficient and you'll not waste any second running around and trying to figure out in which order to do your quests. Follow each instruction carefully and you will see for yourself. The quest choices and order to do them are optimal so that you run as few as possible while doing the most possible, turning several quests at the same time. It will be like grinding, because you'll be killing stuff almost non-stop, besides you'll also be completing a bunch of quests at the same time!
Everything described in this guide can be done solo (beside when I say otherwise). You can, of course, follow this guide while duoing, grouping, it's not a problem, it works too.
DISCLAIMER: This guide does NOT take into account tradeskills, class specific quests or PvP. It's 100% focused on getting the most experience possible in the shortest possible time while doing a lot of quests and enjoying as much content as possible. Any race/class combination can do this guide. Any complaints about PvP, tradeskills, or class specific issues will be ignored.
Basic rules
- Spend your talent points so that you kill things as fast as possible. (e.g: Priest should specialize in Shadow Talents, Warriors in Arms/Fury, etc.
- Don't waste your time trying to find groups for questing, you can solo everything that is described in this guide unless I say otherwise. Only group with someone when it's not gonna be a waste of time (e.g: meeting the person at the other end of the zone to show him the way to where your quest is, that is a waste of time)
- Try to always log out in an inn or in one of the major cities when you take a break.
- When I say you should make an inn your new home location, it's for a good reason, and it will save you much time.
Useful Addons
To get the most out of my guide, you should get an addon which displays coordinates, because I use them to describe locations in my guide (x,y). You can use any addon you like, but here's a very simple one I use.
- DMiniCoords - A simple box which displays coordinates, left-click it to move it where you like.
Below is a list of other addons I use, this is 100% optional though, it's mostly for people who are curious to know which addons I use:
- Bartender4 - A great action bar addon.
- X-Perl UnitFrames - Very nice, highly customizable unit frames.
- Quartz - The best casting bar addon out there, imo.
- Scrolling Combat Text - I just don't like the default UI Floating Combat Text.
Side Note: In case you don't know how to install add-ons, simply download an addon from one of the links above and unzip it. Then drag the unziped folder in your Addon folder (full path is c:\\Program Files\\World of Warcraft\\Interface\\Addons). Then, restart World of Warcraft and it should be working.
If it isn't working, you might need to log out to your character selection screen and click on "Addons" in the lower-left corner. Tick the box that says "Load out of date Addons". Re-launch WoW.
Shopping List
- 1x Strong Troll's Blood Elixir - Needed at level 31 (almost right away), you can either buy it at the AH or buy 2x Bruiseweed 2x Briarthorn 1x Leaded Vial and tip an Alchemist to combine for you.
- 3 stacks of Silk Cloth
- OPTIONAL: 9 more stacks of Silk Cloth (you'll probably get this along the way while hunting) This is for the cloth donation quests. When you get to one of the big cities (Thunderbluff, Undercity, Orgrimmar, Silvermoon) you can turn in 3 stacks for some exp. I won't mention this directly in the guide (beside the Orgrimmar turn in) as it might vary strongly from person to person when you get the cloth and when you make a stop at the aforementioned cities. Once this quest is completed you can turn in Mageweave, Runecloth etc in the same way. This is also great to catch up on exp.
Start checking early for these items, especially the Strong Troll's Blood Elixir.
Color Code
- Quests
- Items
- Locations
- Quest objectives to kill
- NPCs
- Locs
The Guide
Level 31
Before we start, I highly recommend that you get your level 30 mount. There will be more and more traveling the higher in levels we get. It will save you a tremendous amount of time in the long run.
Let's get started! Make sure you're stocked on consumables (food/drink/potions) and fully repaired.
Set your hearthstone to Orgrimmar.
Your quest log should look like this if you followed Chapter I of my guide.
Fly to Freewind Post in Thousand Needles.
1. Get down the lift and follow the road west until Darkcloud Pinnacle, find the slope going up on the northwestern side of the peak (31,36). Go up and across 3 wooden bridges, you'll end up at the top of a peak with 2 bridges, take the one on your left (going east), at the next peak there will be 2 bridges again, take the one on your right (going southeast).
2. You should arrive on a last peak, with a bonfire in the middle named "Sacred Fire of Life". Clear everything on the peak, get back to full health/mana. Right-click the bonfire, it will summon Arikara, a level 28 mob.
Kill it and loot "Arikara Serpent Skin".
Go back the way you came from, until you get off Darkcloud Pinnacle. Make sure your 5 minute special ability is up and that you have health pots ready etc. The next part is best done by 2 players so if you can group up with someone for the kill do so, solo it will be a bit hard, but try it anyway. I soloed this with my beastmastery specced hunter at level 31 using rapid fire and one mend pet.
3. Go northwest until you find a destroyed caravan (22,24) with a panther in a cage in the middle. Open the lock, kill the panther and loot the Hypercapacitator Gyzmo, then go south to Whitereach Post.
4. Go west to Whitereach Post (south if you did the enraged panther quest) (21,31). Turn in the quest [28+]Arikara and [30+]Hypercapacitator Gyzmo if you did it, if not you can abandon that quest.
5. Go west/northwest, we're now gonna look for a named hyena named Steelsnap. Go to the area which is north of highperch, Steelsnap always passes by that spot. Just kill everything in the area while waiting for Steelsnap to show up. I generally find her at (13,28). She's a level 30 hyena with two hyena guarding her. Just kill her quickly and run away, that's the easiest option, but any class can manage it with a bit of strategy. Loot Steelsnap's Rib.
6. Go southeast along the mountain until you reach the harpy cave called Roguefeather Den. Clear your way inside the cave until you reach the bottom, you should see some wooden crates in the corner. When you click them a named harpy will spawn. Kill it and loot Grenka's Claw.
7. When that is done, travel east to the Weathered Nook (54,44), go up the slope and inside the cave to turn in the quest [30]Test of Endurance. Take the follow up.
8. Go to the northwestern part of the zone to (17,37). Kill everything on your way. Rok'Alim the Pounder spawns at that point. Afterwards he roams around in that area a little. Search for him while killing stuff. Once you killed him, loot Fragments of Rok'Alim and go back to the Weathered Nook. Don't get the follow up.
9. Run back to Freewind Post, fly to Thunderbluff. In Thunderbluff go south to the Hunter Rise and turn in the quest [30]Steelsnap, get the follow up [37]Frostmaw, you can destroy the Kodo Skin Scroll you just got from this quest.
Hearthstone to Orgrimmar, sell junk, restock, repair etc.
Be sure to have the Strong Troll's Blood Elixir on you. If you can't find any on the AH, just buy 2 Briarthorn, 2 Bruiseweed and 1 Leaded Vial and have an Alchemist combine it for you.
Take the Zeppelin to the Undercity. In the Undercity next to the Bat Handler you should find a quest [36]To Steal from Thieves, take it. Then go to the Apothecarium, find Master Apothecary Farell, turn in the quest [28]Elixir of Agony and get the follow up.
Fly to Tarren Mill, Hillsbrad.
Get [33] Helcular's Revenge from Novice Thaivand.
1. Head southwest until you hit the Western Strand (36,66) with the Murloc Camps. Kill murlocs until you get 5 Torn Fin Eyes.
2. Go east and across the river, until you find nagas at (58,64). Kill them until you have 5 Daggerspine Scales.
3. Go northwest to the Yeti Cave (46,30). Kill yetis until you get Helcular's Rod, which is kinda rare, so just kill a lot of yetis. It might take a long time, so be patient. If it really takes more than 20 minute, try to log out and then back in. For some reason this worked for me a couple of times and the rod dropped on the first few kills after I logged back in, after a 20 minute yeti slaughter with no success.
4. Go back Tarren Mill and turn in:
- [30] Elixir of Agony, get the follow up [30] Elixir of Agony
- [33] Helcular's Revenge, get the follow up [33] Helcular's Revenge
Hearthstone to Orgrimmar.
You should be level 32 by now.
Level 32
Train, sell junk, restock, repair etc. Once you're ready to go again, fly back to Freewind Post in Thousand Needles. Get the quest [35] Family Tree from Cliffwatcher Longhorn.
Get down off Freewind Post and go east until you reach the Mirage Raceway in the Shimmering Flats(80,77). Get the following quests there:
- [30] Hardened Shells
- [30] Salt Flat Venom
- [30] Load Lightening
- [31] Rocket Car Parts
- [31] Hemet Nesingwary Jr.
- [33] A Bump in the Road
- [36] Wharfmaster Dizzywig
You can find everything needed to complete those quests around the raceway. For locations where the quest mobs are often particularly concentrated, please check the above posted map. (Thanks to Jimjimjimmy for the addition). Keep killing stuff at these locations until you complete all the quests and until you get 10 Turtle Meat.
Avoid the level 35 turtles, they are orange to you and might be a little too hard.
Don't sell the Turtle Meat, put them in bank or somewhere in your inventory.
Turn in all the quests and get the follow up quests :
- [37] Goblin Sponsorship
- [35] Martek the Exiled
Level 33
Before we leave, go south and zone into Tanaris. Go to Gadgetzan and talk to the Wyvern Master in front of the gate to get the flight path. Fly to Ratchet, talk to Gazlowe (in one of the houses northwest of the wyvern landing spot)and get the follow up [37]Goblin Sponsorship. Go to the pier and talk to Wharfmaster Dizzywig, turn in the quest but don't get the follow up. Then take the boat to Booty Bay.
In Booty Bay on the docks, talk to Wharfmaster Lozgil and get the follow up [37]Goblin Sponsorship. Go to the Booty Bay Inn, on the 1st floor, get the quest [35]Singing Blue Shards.
On the 3rd floor get the quests:
[32]Investigate the Camp
[35]Bloodscalp Ears
[36]Hostile Takeover.
Turn in the quest at Baron Revilgaz and get the follow up [37]Goblin Sponsorship.
Take the flight path if you haven't already (we did this in Chapter I of my guide).
Get out of the inn by the other door on the 3rd floor, facing east. In the 3rd house to the left you should find another quest [31]Supply and Demand.
Hearthstone to Orgrimmar.
Repair, sell, restock consumables. Get out of Orgrimmar and take the zeppelin to Grom'gol.
In Grom'Gol get the following quests:
- [34]Bloodscalp Insight
- [34]Hunt for Yenniku
- [37]Bloody Bone Necklaces
- [37]The Vile Reef
- [37]Trollbane
From now on, whenever you kill something in Stranglethorn Vale, you might find "Green Hills of Stranglethorn" pages, make sure you keep one of each page.
1. Exit the camp from the east side, follow the path until you reach the road. Follow this road north, cross the 1st bridge and keep going until you reach the 2nd bridge, don't cross it, go directly north downhill until you find Nesingwary's Expedition Camp, next to the river (35,10). Turn in [31]Hemet Nesingwary Jr. then talk to the other dwarf, get his quest, turn it in at Hemet again.
This should unlock several other quests. Get [31] Panther Mastery [31]Tiger Mastery and [34]Raptor Mastery. No need to get the Green Hills of Stranglethorn quest yet, it's the page quest and you only need to take it once you have gathered enough pages to complete the chapters. Let's start hunting!
2. Kill River Crocolisks which can be found all along the river in northern Stranglethorn Vale until you find 2
Large Crocolisk Skins. While you search for crocs you can also kill Young Tigers close to the river for Tiger Mastery.
3. Then kill 10 Young Tigers (or as much as you still got left)
Tigers can be found mostly south and around the Nesingwary camp.
4. Kill Young Panthers, they are mostly found on the other side of the river to the east (41,10).
5. Once you have finished the above quests, go back to Nesingwary's Expedition. Turn in Tiger and Panther mastery, get the follow ups [33]Tiger Mastery and [33]Panther Mastery.
6. Go west until you reach a plateau (30,9). Up there you can find Panthers and Tigers. Kill 10 of each.
7. Further southwest on the plateau you should find Stranglethorn Raptors, kill 10.
8. Go south and down the plateau until you find the troll camp at Bal'lal Ruins (29,20).
It should take a while to get 15 Bloodscalp Ears, 9 Bloodscalp Tusks, 1 Bloodscalp Totem and 25 Bloody Bone Necklaces, but it is a nice grinding spot anyway. If you don't have enough trolls there is another camp northeast at the Tkashi Ruins (33,15).
9. Once you've collected all of that, go west to the shore and move along the shore towards the north until you find Crystal Spine Basilisks. If you run short on Basilisks, there is more on the lower plateau to the east along the shore. If there aren't any basilisks just go kill some trolls until they respawn. Kill basilisks until you get 10 Singing Crystal Shards.
10. After that go take a swim until you reach the loc (24,22), right under you should be some ruins guarded by murlocs. Against one of the outer walls of those ruins you should see a big tablet, if you put your pointer over it the cog should appear and it should say "Gri'lek the Wanderer" (it should also sparkle). Dive and click the tablet to loot the Tablet Shard, you should be able to do that without aggro'ing any murlock.
11. Go back to Nesingwary's Expedition. Turn in the raptor, panther and tiger mastery quests, get the follow ups.
Go directly to Grom'gol base camp. Turn in:
- [34]Hunt for Yenniku, don't get the follow up.
- [34]Bloodscalp Insight, get the follow up.
- [37]The Vile Reef (elite)
- [37]Bloody Bone Necklaces, don't get the follow up.
You should be level 34 by now.
Level 34
Fly to Booty Bay. Turn in the 4 following quests:
- [31]Supply and Demand, get the follow up [36]Some Assembly Required
- [32]Investigate the Camp
- [35]Singing Blue Shards, don't get the follow up
- [35]Bloodscalp Ears
Hearthstone to Orgrimmar, visit the class trainer, repair, sell, visit the auction, etc.
You should have the cloth stacks from the shopping list by now, if you don't have them, buy as much as you still need from the AH. Go to the Horde Cloth Quartermaster Vehena in the Valley of Spirits in Orgrimmar. Turn in [60] A donation of Silk right away.
Another last thing before you go, if you don't have the cooking profession yet, go learn it. Talk to a city guard and ask him for a cooking trainer. You don't need to level cooking up, you just need to train the profession and to become an Apprentice Cook, it will unlock some cooking quests for easy XP. Grab the 10 Turtle Meat you saved when we were in the Shimmering Flats, and you're finally ready to go again.
Take the Zeppelin to the Undercity.
Fly to Tarren Mill, Hillsbrad.
Get the following quests:
- [30] Humbert's Sword (Elite)
- [32] Stone Tokens
- [32] The Hammer may fall
- [34] Infiltration
- [34] Prison break in
1. Go inside the Inn, and get the quest [31]Soothing Turtle Bisque from Christophe Jeffcoat, also buy 1x Soothing Spices from him. Turn in the quest immediately. While you're inside the inn, set your hearthstone to Tarren Mill.
2. Go southeast to the Dwarven Fortress of Dun Garok (69,73). Your first task will be to make yourself a way inside the fortress and find a Keg of Shindigger Stout, they can mostly be found on the side rooms down the stairs.
Then you'll need to find and kill Captain Ironhill, he can spawn a various locations:
- On the top floors, which is good because he can easily be pulled solo there.
- On the big middle room down the stairs.
After you've killed Captain Ironhill, keep killing dwarves in the fortress until you've completed the kill list of [30]Battle of Hillsbrad and gotten Humbert's Sword, which is a rare drop from any of the dwarves.
3. Get out of the Dwarven Fortress, get back on the path going northeast and then east into Arathi Highlands.
4. Stay on the road for a while until the location (30,50), north of that point you should see a mound with
some ogres, this area is called Boulder' gor. Kill ogres there until you complete the kill list from [32]The Hammer May Fall.
Note: Boulderfist Enforcers can only be found inside the cave, which can be entered from the east side of the mound.
5. Get back on the road, follow it eastwards until you reach a crossroads, follow the smaller trail going northeast, until you reach Hammerfall, the horde outpost.
Further inside the village go up the stairs and turn in the quest [37]Trollbane, don't get the follow up.
Turn in [32]The Hammer May Fall, get the follow up [32]Call to Arms.
Get the new flight path
Sell, repair, restock food/drink.
6. Head out, go south until you find Witherbark Village (69,60). Kill trolls in there until you finish the kill list of [32]Call to Arms and then grind here until you hit level 35 (if you aren't 35 already). If you find a necklace named Pendant of Myzrael, click it to start the quest, and you may equip it too if you don't have a better necklace.
Level 35
Hearthstone to Tarren Mill. Turn in the 3 quests, get the follow ups:
- [30] Elixir of Agony
- [32] Battle of Hillsbrad
- [30] Humbert's Sword
Go to the inn, on the 2nd floor there's a room with Captured Farmers inside, and a "Dusty Rug" on the floor. Click it and complete the quest for an extra 3650 exp.
Sell, repair, restock food.
1. Head west to the yeti cave. Go inside the cave, and look for the 2 braziers named Flame of Azel and Veraz. Right click them to turn them off.
2. Get out of the yeti cave, go north and slightly northeast, find the plateau named Corahn's Dagger (48,81). You'll find a syndicate camp there, kill those humanoids until you get a Syndicate Missive.
3. Once you have the Syndicate Missive, go west, you should quickly stumble upon a camp with alliance npcs, don't get too close or they will aggro you and you'll die quickly. To the north you should see a narrow path to Alterac Mountains (42,77). Before you go through this pass, kill some lions in the area until you get a Fresh Carcass (if you didn't get one already that is).
4. Once you have a Fresh Carcass, go through the snowy path, you should be able to locate a yeti cave soon at (37,68). Clear yourself a way inside the cave, then click the Flame of Uzel.
Get back to full health/mana, and check if your potion timer is ready, because we're about to summon a level 37 yeti, Frostmaw. When ready, place the Fresh Carcass on the Flame of Uzel and wait a little bit, frotmaw should show up within the next 20 seconds. Kill it and loot "Frostmaw's Mane".
5. Exit the cave, go west back to the plains area in Alterac Mountains and then southwest until you find the Lordamere Internment Camp (21,82).
Kill everything in the camp, including the non agressive undead npcs. You can get stone tokens from the Dalaran Guards and Theurgists, and the Bloodstones from the undead npcs: Ricter, Alina, Dermot and Kergan Darkmar. Kergan is in the other house, on the 2nd floor. He's guarded by a level 36 mob, Warden Belamoore so kill this one first, then kill Kergan and loot the last Bloodstone. You don't need Belamoore's Journal for anything, it is just lore, you may destroy it.
Once you got the 4 bloodstones and 10 Stone tokens, hearthstone back to Tarren Mill.
Turn in:
- [34]Infiltration, don't get the follow up
- [34]Prison Break In, get the follow up
- [32]Stone Tokens, get the follow up [34]Bracers of Binding
6. Now is the time for one of those missions: impossible. Head southwest to the river and follow it until you have the alliance town of Southshore in view. Not too close or you'll get aggro from the guards, they'll see you from very very far. (55,52) is a good spot.
With maxed clip plane you should see Helcular's grave, which is at the eastmost tip of the southshore graveyard. Wait till the 3 guards patrolling close to this area are as far as possible then sprint for the grave, right click it, complete the quest log which just showed up as quick as possible and then run for your life, back the way you came from. You will most likely get aggro and die, but that's ok!
If you have troubles doing this part, I made a quick video of it here:
Go to Tarren Mill.
Fly to the Undercity, go speak to Varimathras, he is in the same room as Sylvana, the banshee queen. This room is behind the Apothecarium, you have to use the gate of the Apothecarium to access it.
Turn in [32]Battle of Hillsbrad, also get the quest [42]Into the Scarlet Monastery if you plan on going to Scarlet Monastary later on.
Sell, repair, restock consumables. Fly back to Tarren Mill.
Go west and then north into Alterac Mountains, as if you were going to the Lordamere Internment camp.
However this time go further north towards those rubbles around the big purple dome of Dalaran (20,77). Kill elementals and the dalaran humanoids in this area until you complete [34]Bracers of Bindings and [35]Dalaran Patrols.
When done, hearthstone to Tarren Mill or run there if it's still on cooldown. Turn in the 2 quests.
Sell/Repair, restock food/drink.
Fly to Hammerfall, Arathi Highlands.
In Hammerfall, turn in [32]Call to Arms and get the follow up.
This should make you ding 36 or you should be pretty close.
Level 36
Talk to the innkeeper and set your hearthstone here. If you have any important skills/spells that you'd like to learn, fly to Undercity and either train there or take the zeppelin to Orgrimmar. Afterwards come back to Hammerfall.
Get the quests:
- [33] Foul Magics
- [34] Hammerfall
- [37] Sigil of Strom
Turn in the quest [34] Hammerfall at Tor'Gan who is standing close to the exit of Hammerfall and take the follow up [34] Raising Spirits
**If you have 225/225 in first aid, you may want to go to the house which is to the left after entering the Hammerfall. The trauma surgeon there will give you a quest to become an artisan in first aid. The quest is done immediately, you have to bandage injured soldiers as fast as possible, prioritizing the most injured ones. It's also an easy 5500 xp. If you fail it, abandon and re start the quest.**
Time to hunt!
Kill all the raptors you find on your way: you need 10 Highland Raptor Eyes.
1. Head west to the Dabyrie Farmstead (57,41). Kill the following mobs:
Fardel should be around the field.
Marcel should be in the stables.
Kenata should be in the small house on top of the hill.
2. Once you've collected the 3 heads, head west to Northfold Manor (35,30). Kill the syndicates there until you have 10 Bloodstone Amulets.
3. Go south until you reach Stormgarde Keep. Kill Syndicates here until you get Sigil of Strom from one of them. Be careful not to get too many adds while you pull.
4. Head back to Hammerfall, make sure you get the last Highland Raptor Eyes you need.
Turn in the following quests:
- [33] Foul Magics, don't get the follow up
- [37] Sigil of Strom, don't get the follow up
- [34] Raising Spirits, get the follow up and go talk to Gor'mul in the northwest corner of the village, turn in the quest and go back to torgan, turn in the quest and get the follow up [37]Guile of the Raptor.
Sell, repair, restock food/drink.
**Kill any Highland Fleshstalker you might find on the way**
5. Head southwest to the opposite side of the zone till you find the Boulderfist Camp (52,72). Kill the Ogres there until you finish what's on the kill list of [38]Call to Arms.
6. Then go to the plains north and west of the Ogre caves, all over that place you'll find Highland Fleshstalkers, kill as many as you still need to get 12 hearts.
After that, go grind on Ogres or Trolls to the east, until you are about 20000xp from level 37.
7. Hearthstone back to Hammerfall, turn in [37]Guile of the Raptor.
Go to Gor'mul (the npc close to the forge), turn in [37]Guile of the Raptor. Wait a few seconds then he will have a quest up for you, take it and go back to Tor'Gan, turn in the quest [37]Guile of the Raptor again.
Go up the stairs in front of the inn and turn in [38]Call to Arms, don't get the follow up.
Fly to the Undercity, when there, turn in the quest [36]To Steal from Thieves, right next to the Bat Handler.
Get out of the Undercity, go take the Zeppelin to Orgrimmar.
First thing you do when in Orgrimmar is set your hearthstone at the Innkeeper. Visit your trainer if you didn't do that yet. Then go to the Cleft of Shadows, and find Craven Drok, an orc NPC who roams in between the two slopes there. Get the quest [30]Alliance Relations from him (it's green so there will be no yellow question mark over his head).
Go to the western exit of Orgrimmar, in the last hut before the exit turn in this quest and get the follow up.
Sell/repair/restock consumables.
Fly to Thunderbluff, go to the Hunter Rise and turn in the quest [37]Frostmaw, don't get the follow up.
This should make you ding level 37
Level 37
Your quest log should look like this at the moment:
[30] Alliance Relations
[42] Into the Scarlet Monastery (Dungeon) [optional for those who go to Scarlet Monastery]
[35]Tiger Mastery
[35] Family Tree
[36] An Unusual Patron
[36] Hostile Takeover
[36] Raptor Mastery
[36] Some Assembly Required
[38] Panter Mastery
[35] Martek the Exiled (Complete)
[37] Goblin Sponsorship
==Note== Before you move on to the next step, I recommend checking the auction house and buying 2 Elixirs of Water Breathing, unless your class has some sort of underwater breathing spell, or if you're an undead. It will make some of the steps much easier.
Fly to Sun Rock Retreat in Stonetalon Mountains, and go to Desolace. If you don't know the way, here is how:
After entering Desolace, go south and slightly southeast to find Kormek's Hut (62,38), get the quest [39] Bone Collector from Bibbly F'utzbuckle.
Go west to the big tower named Ethel'rethor, next to it you'll find a human npc named Azore Aldamort (38,26), get his quest: [33]Scepter of Light.
Then go southwest of the tower, along the coast you should find a book on a barrel, the book is named "Rackmore's Log" (36,30), click it and get the quest [36]Claim Rackmore's Treasure.
Go southeast until Ghost Walker Post's main entrance (56,56), a bit to the south you should find 2 NPCs next to a small hut, get the quest [33]Gelkis alliance and [35]Khan Dez'hepah.
A little to the north, turn in [35] Family Tree at Nakata Longhorn and get the quest [37]Catch of the day from him.
To the west you'll find the last quest giver of Ghost Walker Post, Takata Steelblade, turn in [30]Alliance Relations, get the follow up as well as the other quest [33]Befouled by Satyr.
Talk to Maurin Bonesplitter who should be right behind you, turn in the quest [33]Alliance Relations and get the follow up [33]The Burning of Spirits.
Go south till you hit the road and then follow it until you get to Shadowprey Village (25,75).
Get the quest [38]Hand of Iruxos from Taiga Wisemane, who should be standing on top of an earth mound, to the right after a couple of huts. Go down to the pier and get the quests [36]Other fish to Fry and [35]Clam Bait.
Go to the end of the pier and get the new flight path.
Start of XP Circuit:
1. From the pier, dive into the water. Use your Elixir of Water Breathing if you have one, it will make this step much easier. Look around at the bottom of the sea for Shellfish Traps
Keep doing this until you have gathered 10 Shellfish.
When you have 10 Shellfish go back up to the pier and talk to the troll named Jinar'Zillen, turn in 5 Shellfish twice to get 2 Bloodbelly Fish(put those aside in your bags, make sure you don't eat them).
Sell, repair, restock food/drink. This is going to be a long circuit.
2. Get out of the village the same way you came from, follow the road eastwards until you reach Magram Village (66,68). Time to slaughter some centaurs! Kill Magram Centaurs until your reputation with the Gelkis Centaurs is Friendly. That means you need to kill 50 Magram centaurs, check your reputation tab ("u" key) to see your progression. Stop killing them once you are friendly with the Gelkis.
3. Go northwest to Scrabblescrew's Camp (60,61), get the quest [34]Kodo Roundup. Find the Kodo Kombobulator Rod in your bags and put it on a hotkey. Go west to the Kodo Graveyard and use the rod on any Ancient, Aged or Dying Kodos, when you got one following you, bring it back to the goblin who gave you the quest, he will say something about you needing to inspect the beast, right click on the kodo you just brought and you should get a quest update. Repeat this step 4 more times and the quest will be complete. Turn in the quest.
4. Go back to the Kodo Graveyard, look for kodo skulls on the floor, they are labelled as "Kodo Bones" on your tooltip and they shimmer. Gather 10 kodo bones, watch out though, clicking the skulls sometimes spawns a Kodo Apparition, which are easy to kill at your level but just don't click a skull if you are low on health.
5. Go east to the Kolkar Village and find their chief, Khan Dez'Hepah (73,47), who stands in one of those high tents. Kill him, loot his head.
6. Go to the horde camp just above and around the Kodo Graveyard, turn in [35]Khan Dez'hepah at Felgor Twocuts (56,59) and [37]Catch of the day at Nakata Longhorn just a bit further north.
7. Go northeast to Kormek's Hut (62,38), turn in [39]Bone Collector.
8. Go northeast to the Satyr Village of Sargeron (75,28), kill all the satyrs you need to complete the quest [33]Befouled by Satyrs.
9. Go west to Thunder Axe Fortress and enter by the main gate (56,29). Look for a "Burning Gem" in your bags, and put it on a hotkey. When you kill the burning blade npcs in the fortress, use the gem on them when they are about to die (10-20% health left or so), you will gather infused burning gems that way. You need 15 burning gems in total, and you will probably gather them while we reach the
other objectives for other quests we have to do here.
Go inside the main building right infront of the main gate, clear the way to the central room, inside of it you should see a big red crystal. Clear the whole room before you touch it. Save your long cooldown abilities and have your potion timer ready too. When you are ready, click the crystal, a Demon Spirit will spawn, it's lvl 37 but kinda hard for this level, so use everything you got if needed. Kill it and loot the Demon Box.
Get out of this building, and go to the guard tower just next to the main gate, clear the two npcs on each side of the hut on the top floor of the guard tower, then get full health before you go in, because 2 npcs are inside. Kill them both and loot the Rod of Light from the seer.
Before you leave the fortress, kill mobs until you get the remaining Infused Burning Gems you need for the quest [33]The Burning of Spirits. You should already have found a Flayed Demon Skin on one of the burning blade npcs you killed, if you haven't stay in the fortress and kill everything until you get one. Right click it to start the quest [33]The Corrupter.
10. Get west to the tower of Ethel Rethor (38,27), turn in the quest [33]The Scepter of Light at the npc Azore Aldamort. Get the follow up [38]Book of the Ancients.
11. Go west to the shore, follow it south until you see the mast of a wrecked ship, sticking out of the water at (33,31). Use an Elixir of Water Breathing if you have one, take a swim, all around this ship you'll find Giant Softshell Clams, open them to find clam shells, which you need to open to find meat inside.
You need to gather 10 Soft-Shelled Clam Meat that way. Also in the same area you'll find those giant lobsters named Drysnap Crawlers and Pincers. Kill those until you find a Silver Key
(takes me 10 kills on average, depending on my luck).
12. Go north of the sunken ship until you find nagas, kill them until you find Rackmore's Golden Key. The key can drop from any naga in the area, it takes me about 10 kills each time depending on my luck.
13. Once you've got the key, swim northwest, kill any Slitherblade Myrmidon, Naga or Sorceress you find on your way, this is a long swim. Keep swimming northwest until you reach Raznajar Isle, and step on the isle by the eastern side of it (30,9). You should find Rackmore's Chest here, at the base of a tree.
Click on it and complete the quest.
14. Go to the northern tip of the isle, you should find a Serpent Statue. Clear the few nagas around it, get full HP/MANA then go click the statue, this will spawn Lord Kragaru, a level 38 naga. Kill him and loot the Book of the Ancients from him.
15. Swim southeast, back towards the tower of Ethel Rethor, kill the remaining Slitherblade you need on your
way back, make sure you complete the quest [36]Other fish to fry. Go to Azore Aldamort (38,27) and turn in [38]Book of the Ancients.
This should make you ding level 38, or you should be close.
Level 38
16. Go southeast to Ghost Walker Post, find Maurin Bonesplitter and Takata Steelblade (52,53). Turn in the 3 quests, do NOT get the follow up from [33]The Corrupter, but get the other follow up: [33]Alliance Relations.
17. Go south, back on the road and follow it south then west, until Gelkis Village where you must find their chief: Uthek the Wise (36,79), turn in the quest, don't get the follow up.
18. Go to Shadowprey Village, turn in the last 3 quests:
- [35] Clam Bait
- [36] Other fish to fry
- [38] Hand of Iruxos, don't get the follow up.
Get the quest [31] Hunting in Stranglethorn from Roon Wildmane.
Hearthstone to Orgrimmar, go turn in [33]Alliance Relations at Keldran (in the last hut close to Orgrimmar's west gate)
End of XP Circuit:
Go visit your class trainer, sell/repair, check the AH, restock consumables.
Take the Zeppelin to Grom'gol base camp. In Grom'gol, take the following quests:
- [36] The Defense of Grom'gol
- [37] Headhunting
- [38] Mok'thardin's Enchantment
- [42] Split Bone necklace
Your quest log should look like this now:
==Note== You should also have [31] Hunting in Stranglethorn and [36] An Unusual Patron.
Time to hunt!
Start of XP Circuit:
1. Go southeast, stop at (35,35), you should be close to the Master Tribal Leatherworker npc, all around this area you need to find Shadowmaw Panthers, they are stealthed. The best method is to run around killing everything in the area while hitting "tab" key alot to target any panther you find on the way. Keep doing this until you have 10 Shadowmaw Panther kills and 8 Shadowmaw Claws, and also a Pristine Tigress Fang. This may take a while so just kill everything in the area until you're done.
2. Go northeast along the river, you'll find Snapjaw Crocolisks soon (39,31). Keep going north along the river to find more crocs, kill them until you got 5 snapjaw crocolisk skin. If you run out of crocs to kill, you can go further to the north and kill the venture co. goblins while waiting for the crocoliks to respawn.
3. Go north to the Venture co. Base Camp, clear yourself a path to the top of the oil rig, which you can access at (42,18). Find Foreman Cozzle at the top of it, kill him and loot his key. Get off the oil rig and go to the small houses just a little south of where you are, inside you'll find Cozzle's footlocker (42,20)
Open it and get the Fuel Regulator Blueprints. Get out and kill Venture Co. Geologists until you have 8 Tumbled Crystals.
4. Go west/southwest to the area which is north of Grom'gol base camp (30,23), you'll find plenty of Lashtail Raptors there. Kill 15.
5. Move north to the Nesingwary's Expedition Camp, on your way you need to kill 10 Elder Stranglethorn Tigers (31,19). When done with that move further north/northeast until Nesinwary's Expedition camp.
At Nesingwary's camp, turn in the 3 mastery quests and get the follow ups:
- [37]Tiger Mastery
- [40]Panther Mastery (elite)
- [41]Raptor Mastery
Also turn in [31] Hunting in Stranglethorn.
6. Go southwest around the plateau and then west until you hit the coast. Continue northwest along the coast until you find the ruins of Zuuldaia (20,12). Kill every troll in the area until you have 20 Shrunken Heads.
7. Go southwest and swim towards the island with water elementals on it (20,22), find the Altar of Naias and use the Gift of Naias which should be in your inventory. Naias will spawn, kill it and loot the Heart of Naias.
8. Go back to Grom'gol base camp.
Turn in:
- [37]Headhunting, get the follow up [41]Bloodscalp Clan heads
- [36] The Defense of Grom'gol, get the follow up [37]The Defense of Grom'gol
- [36] An Unusual Patron
- [38] Mok'thardin's Enchantment, get the follow up [41]Mok'thardin's Enchantement
You should be level 39 by now.
Level 39
9. Go east to the Ruins of Mizjah (37,31), kill 10 Mosh'ogg Brutes and 5 Mosh'ogg witch doctors.
Go back to Grom'gol and turn in the quest [37]The Defense of Grom'gol.
Fly to Booty Bay, turn in the quests:
- [37]Goblin Sponsorship, get the follow up.
- [36]Hostile Takeover
- [36]Some assembly required, get the follow up [38]Excelsior
End of XP Circuit:
While you are in Booty Bay, check the AH to see if there is any Stranglethorn Lost Pages you miss for sale. The next time we come to Stranglethorn Vale will be the last, so you better make sure to have all 4 chapters complete as soon as possible:
1. Chapter I: page 1,4,6,8
2. Chapter II: page 10,11,14,16
3. Chapter III: page 18,20,21,24
4. Chapter IV: page 25,26,27
Sell/repair/restock consumables and take the boat to Ratchet. Once there, fly to Camp Taurajo. Get on the main road and go south until you reach (46,75). There the road should fork: go east and follow the road until you reach Dustwallow Marsh.
Start of XP Circuit:
1. Just as you enter the zone you should see a burnt down house called "Shady Rest Inn". Take the three quests here:
- [35] Suspicious Hoofprints
- [35] The Black Shield
- [37] Lieutenant Paval Reethe
and follow the road northeast. After a while you should see an arrow on the mini map pointing you to Brackenwall Village.
2. Follow it until you reach the village. On the way at (35,38) you should see an ogre with a quest ([36] Hungry!). Take the quest and continue to the village.
3. Once there take the flight path. If you have First Aid, go to Balai Lok'Wein and buy your First Aid manuals there (if you haven't got them already). Once that is done, make the inn your new home. Then go to Krog (right next to the inn) and turn in the three quests we took at the zone in. Take the follow up and also take [35] Inspecting the Ruins.
Go to Do'Gol and turn in [35] The Black Shield. Take the follow up. Now get the following quests:
- [35] Theramore Spies
- [36] The Hermit of Witch Hill
- [37] Check Up on Tabetha
- [37] Twilight of the Dawn Runner
- [39] Help Mudsprocket
1. Exit the village and kill 9 Theramore Infiltrators all around the village (They are stealthed so put on track hidden as a hunter etc). If you have troubles finding the Infiltrators, just use tab while running around (they are non-aggressive so you have to find and attack them first).
A great suggestion from one of our readers:
Along the road from Brackenwall Village to North Point Tower (we'll go there in the next step) are two tents with Theramore guards. Right behind them are at least three (2 behind the first and one more behind the 2nd) Theramore Infiltrators, which I found way more easy to localize than the guards around Brackenwall Village. I killed only three guys around Brackenwall in 2 full circles(might be someone else was on the same quest though), then got annoyed and decided to skip, then found the other guys.
There are also 3 more infiltrators on a little island at (41,25) and 3 more around (38,26).
2. Once done, from Brackenwall Village, go east, slightly northeast to (46,24), where you should find North Point Tower. Fight your way inside where you should see a bloodelf NPC called Ithania. Speak to her and follow her dialogue to set her free.
Then fight your way to the top of the tower. There should be cargo lying around, looking like this:
Loot it. Get off the tower.
3a. Now go east to (55,26) where you should find "Swamp Eye" Jarl. Turn in [36] The Hermit of Witch Hill and get the follow up. There is also a loose dirt mound on the ground looking like this:
Right click it to get the quest [35] The Lost Report. Also inside the house or close you should find Mordant Grimsby. Take his quest: [36] What's Haunting Witch Hill?. Now all around "Swamp Eye" Jarl's house you'll find Giant Marsh Frog critters.
Kill them while also killing Risen Husks or Risen Spirits. When they die, they'll spawn spirits (in most cases) which will give you a quest update. Continue doing this until you finish both [35] Marsh Frog Legs and [36] What's Haunting Witch Hill?.
3b. Once done go back to the hut and turn the quests in. Get both follow ups.
All around the hut you will see plants looking like this:
Loot 9 of them.
4. Once done go back to Mordant Grimsby and turn in [36] The Witch's Bane. Get the follow up. Go right outside the hut and while standing on the dock, right click the torch Grimsby gave you. After a few seconds a level 36 demon will appear. Kill it and you should get a quest complete message. Go back to Grimsby and turn the quest in.
5. Go northwest to (46,17) where you should find "Stinky" Ignatz. Take his escort quest and follow him around while he does whatever. (This quest seems to be bugged sometimes and doesn't work. If this is the case for you just skip it)
6. Once the escort quest is done you'll be at around (48,24). Go northeast again and climb over the hill. On the other side of the hill you should see Dreadmurk Shore with a lot of murlocs. Kill those murlocs until you have 8 Mirefin Heads.
7. Once done, hearthstone to Brackenwall Village. Turn in all your quests, don't take follow ups. Go northwest of the village to Darkmist Cavern and kill spiders there until you got 20 Unpopped Darkmist Eyes and 5 Acidic Venom Sacs.
8. After that is done go back to the village and turn in [37] The Black Shield. Take the follow up. Talk to Krog and complete the quest.
End of XP Circuit:
Unfortunately I misclicked and didn't take the screenshot, but it was an amazing xp rate, it was approximately like this:
Time played this session: 1 Hour
Total EXP this session: 51000 XP
XP/Hour this session: 51000 XP/Hour
You should be level 40 by now.
Fly to Ratchet. Turn in [37] Stinky's Escape at Mebok Mizzyrix then fly to Orgrimmar.
Train your new skills, sell stuff, repair, restock consumables and check the AH.
When done, fly back to Brackenwall Village.
Start of XP Circuit:
1. Mount up and ride southeast from the village to about (40,36). You should see an ogre there. Take his quest and escort him (a short way) to Reethe, a human npc. Be sure to be full mana/hp because once the ogre is done talking, you'll have to fight off 4 level 35-37 npcs. The ogre can tank one, you'll have to deal with the other three in some way. Use crowd control, potions and long cooldown skills.
2. When you are done, mount up. Go southwest, back to Mudcrush Durtfeet (35,38). Turn in [36] Hungry! then ride to the Shady Rest Inn (at the border to the Barrens) and turn in [35] Inspecting the Ruins at Inspector Tarem. (Just some extra exp)
3. Now ride southeast to (46,57) where you should find Tabetha. Turn in [37] Check Up on Tabetha. In the same house you should find Apprentice Garion. Get [38] The Grimtotem Weapon and [39] The Reagent Thief from him. Just outside the house you should find Apprentice Morlann. Get [39] Direhorn Raiders and [40] The Zeppelin Crash from him.
** From now on kill every Noxious Shredder and Darkfang Creeper on your way**
4. Open your map and take a look at the "island" you are currently situated at. It's called "The Quagmire". Stay on that island and search for Mottled Drywallow Crocolisks. Whenever you see a bunch of them together, right click your Captured Totem from your inventory. Now make sure that whenever you kill a croc, the totem is up or you won't get a quest update.
There is a particular problem for hunters, mages and warlocks for this quest. The mob must have you in target when it dies, or it doesn't work. For warlocks this is less of a problem, just summon an imp and tank yourself while dotting. For mages, just make sure the mob is not frost nova'd when you finish it. But for hunters it's a little different especially if you are beastmastery specced and don't have your weaponskill maxed. In that case, do the following:
Place your totem and stand next to it with your pet. Put your pet on: passive, stay and growl off. Pull a crocodile with distracting shot from as far as possible and try to hit it with as many shots as possible before it reaches you. Once it's next to the totem and once you are meleeing it, sick your pet on it. Normally your pet shouldn't take aggro and until the croc is dead. If it does get aggro though, just turn the pet's attack off (click on the passive icon), move away a good distance, get aggro with distracting shot and finish it off either meleeing or with shots. You must have aggro first though.
5. When you are done move east towards (53,57). On the way you should find a few Noxious Shredders (kill as many as you still need). When you are there, talk to Moxie Steelgrille and turn in [40] The Zeppelin Crash. Take both [40] Corrosion Prevention and [39] Secure the Cargo! from her.
You've probably already noticed that blue lightning rays are being shot at you. Open your inventory and search for Ooze Buster. Put it on a hotkey. This is used to dissolve oozes all around the crashed zeppelin wreck. You can only use the buster while you energized by the blue rays though (which are being shot by power core fragments). The power core fragment next to Moxie always shoots energy at you so stay as much around that fragment and pull oozes to it. Once they are close use your Ooze buster on them. This will dissolve the oozes and you'll get a quest update. You need to do this 10 times.
At the same time loot 8 Zeppelin Cargos in little boxes all around the floor. If you run out of oozes/boxes next to Moxie, just go to the other power core fragments around the crashed zeppelin. The only disadvantage with those is that they turn off and stop to shoot energy every 30 secs for 30 secs. So if your fragment isn't shooting energy at you, wait a little until it switches on again, then dissolve your oozes. When done, return to Moxie and turn in both quests. Take the follow up [39] Delivery for Drazzit.
6. East of you should be some mountains. Follow those mountains north/northwest until you reach a tauren camp called Direhorn Post. Kill 12 Grimtotems here (any). While killing them you'll stumble on an undead npc called Apothecary Cylla. Kill her and loot "Sealed Letter".
Right click it for a quest.
7. When done, return to Tabetha's house. Turn in everything you got. Mount up and follow the path south to Mudsprocket (new town, yay!). Take the flightpath there. Turn in [39] Help Mudsprocket and [39] Delivery for Drazzit. (No need to gather quests here now, we'll come back in a bit)
8. Fly to Brackenwall Village. Turn in both quests and take [37] The Black Shield from Krog.
9. Mount up and ride back to the hermit hut at (55,26). There you should see another quest from the dirt pile. Take it and also turn in [35] Jarl Needs Eyes at Jarl. Take the follow up. Also get the quest [35] The Severed Head from the Loose Dirt.
10. Go north/northeast of the hut to the little passage-way that leads to the murlocs we killed earlier (57,19). Razorspine should be patrolling there. Kill him and loot his blade. Go back to Jarl and turn the quest in.
Hearthstone to Brackenwall Village. Turn in [35] The Severed Head and take the follow up. Fly to Thunderbluff.
Go to the Hunter Rise and turn in [37] The Black Shield. Take the follow up. Go to Melor Stonehoof and get the quest [45] Deadmire.
End of XP Circuit:
Fly to Orgrimmar.
Sell/repair/restock consumables, vist the AH. Make the inn your home again.
Take the Zeppelin to the Undercity, go to the Undercity and take a bat ride to Hammerfall, Arathi Highlands.
Get the following quests:
- [40] Call to Arms
- [40] Foul Magics
- [40] The Broken Sigil
- [40] The Real Threat
Mount up and ride to Stromgarde Keep. As you enter go left at the first occasion. Clear your way through until you reach a big dark house. Go behind the house and you should be at (29,63) approx. Marez Cowel spawns at that location, in front of the butcher table:
If she is not there, she can also be found on the second level, in a small square-shaped area above the above described spawn point.
Kill her and loot the Befouled Bloodstone Orb from her. Fight your way back to where you went left earlier and go right instead (still on the lower level). You should see two ways now. One going south and one going west. Go west and kill every Stromgarde Defender/Troll Hunter/Vindicator you come accross until you have 5 Sigil Fragments. (They don't drop often, but when they drop you get like 3 at once or so)
Once that is done go back to the intersection from before and instead of going west, go south. You should see ogres and trolls there. Clear your way down then straight until you see a tower. Clear your way around the destroyed houses and search for Or'Kalar. Kill him then kill as many Boulderfist Shamans and Lords as you still need. Mount up and run back to Hammerfall.
You should be level 41 by now.
Level 41
At Hammerfall first turn in two quests at Tor'Gan, take the follow up [40] Sigil of Thoradin. Go to Zengu (on top) and turn the quest in. Don't get the follow up. Also turn in [40] Call to Arms and [40] The Real Threat up top.
Our next stop is the outpost of Kargath in the Badlands, follow the map above to get there: first enter the Wetlands then go south to find the tunnel entrance of Dun Algaz (54,70), keep following the tunnels till you enter Loch Modan.
In Loch Modan follow the path shown on the map until you enter Badlands.
After entering the Badlands:
1. Go south, then southwest and then west while staying close to the mountain to your right-hand side. At some point you'll find a very small camp with a few gnomes in it (25,45). Get the quest [37]Study of the Elements: Rock from Lotwil Veratius.
Go further west while killing every Lesser Rock Elemental on your way, until you find Kargath Outpost (4,44). Get the flight path, sell/repair.
2. Go back to the Lesser Rock Elementals just east of here and kill them until you have looted 10 Small Stone Shards.
3. Go to Lotwil Veratius, turn in [37] Study of the Elements: Rock, don't get the follow up.
Get ready for the next chapter!
I hope you enjoyed this guide. If you want to return the favor, please try to contribute.
Original Author: Jame
Revamp & Text Formatting & Picture Editing: Snowflake
Picture Editing: Subere
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starting new
Submitted by bloodshotworm on Thu, 2010-08-05 17:12.
heey, i'm a level 31 paladin and didn't follow chapter 1 of your guide, i'm wondering what i should do as i don't have the quests needed at the start ??
thanks x
Jame, During your 36-37
Submitted by VerbsBeforeNouns on Fri, 2009-08-28 22:37.
During your 36-37 progression the griding session can be eliminated by taking to follow up to Infiltration, I suggest you tell people to pick it up when you hand it in then at the begging before you go to Arathi.
One difference
Submitted by tetar on Fri, 2009-08-21 22:15.
Jame, one thing you might want to update. The quest Deadmire is now a little bit of a lower level, more like 41. It's probably advised to pick it up when you turn in Frostmaw and then you're right in the area to complete it when you are doing The Grimtotem Weapon, as Deadmire inhabits the exact same area as the crocolisks for that quest do. Then when you go turn in The Black Shield in Thunder Bluff, you can turn Deadmire in as well as you are already on the Hunter's Rise anyways
Hey, dunno if anyone has
Submitted by VerbsBeforeNouns on Mon, 2009-08-17 21:39.
Hey, dunno if anyone has told you Jame but in your guide at level 33 the map you have of STV has Nesingwary Camp listed twice as 1 and 11.
That's because you return to
Submitted by Jiyambi on Mon, 2009-08-17 21:54.
That's because you return to the camp several times during that circuit.
A few extra q's
Submitted by Zarghol on Fri, 2009-07-24 04:38.
First, I want to say how great I think this guide is, I used it on my first char from about midways in Outlands, and after that I've never levled without it. (:
However, I noticed something on the druid I'm leveling now. I picked up the "The Swarm Grows"-chain ( http://www.wowhead.com/?quest=1145 ), and it's a pretty easy addon(done without any death as a lv.32 druid) to the circuit in Shimmering Flats. Just kill some silithids, and they also drop http://www.wowhead.com/?item=5877 which can easily be done while doing the quest. Adds a nice bit of exp to the chain, and it only requires you to take a little trip to Crossroads.
Again, thanks for the great guide, it's appreciated!
Notes for the guide?
Submitted by Achnos on Tue, 2009-07-14 02:16.
I love your guide Jame and i've been using it for quite a few characters now.
But you might want to note that in lvl 37, in desolace when you have to get 10 Soft-Shelled Clam Meat, it can also be obtained by killing the crawlers (crabs) roaming the sea bed in the area of the clams.
And in lvl 38, in stranglethorn when you have to get shrunken heads. Only the Headhunters drop the shrunken heads.
Again thanks for the guide!
Achnos, Tauren warrior, Ravencrest
When do we turn in Martek
Submitted by LeetestWatashig on Sat, 2009-07-11 09:38.
When do we turn in Martek the Exiled?
At the very beginning of the
Submitted by Jiruru on Sat, 2009-07-11 13:49.
At the very beginning of the next segment (almost), after a short jaunt in Swamp of Sorrows, we go to Badlands to turn in Martek.
Crocolisks in dustwallow./totem
Submitted by acdc on Thu, 2009-07-09 02:44.
I have done this quest multiple times with my hunter. I did not have to go thru all the steps mentioned to get the totem to work. All i did was use my pet to fetch the croc close to me, and the totem worked. Very simple, very easy!
They must have fixed the
Submitted by Jiyambi on Thu, 2009-07-09 07:40.
They must have fixed the bug, cause when I did it, it definitely didn't work if the pet had agro.
Good to know it's fixed!
Shrunken Heads
Submitted by Gofac on Tue, 2009-07-07 16:53.
The reason he says to kill everything is because the headhunters can spawn anywhere. The only static spawns I saw were at the bottom of the hill by the entryway. A bit of warning with the berzerkers....they can hit hard and crit:) The good thing is the headhunters usually drop more than one head. Doesn't take too long.
No such thing as Soothing
Submitted by Cattle on Sun, 2009-07-05 04:12.
No such thing as Soothing Spices anymore lol.
Rock elementals f/u
Submitted by peasedmp on Sat, 2009-06-20 17:37.
Terrific guide! The last quest on this guide says to skip the follow-up (kill rock elementals for 3 drops) but the second part is very easy as the lvl 40 Rock Elementals are on the plateau NW of the Lesser Rock Elementals, easy access from (11.5,42.8 ) and the drop rate is 100%. It gives 4150 xp in about 5 min.
Misleading information...
Submitted by ShadowXD on Sat, 2009-06-20 16:51.
In the Stranglethorn section of the guide where it says:
"Go southwest around the plateau and then west until you hit the coast. Continue northwest along the coast until you find the ruins of Zuuldaia (20,12). Kill every troll in the area until you have 20 Shrunken Heads."
The Shrunken Heads only drop from the Headhunters, no other which is what got me confused for a while so that's just a little reminder and maybe a bit of help to some people...
Look Out!
Submitted by Frollo_the_decimator on Thu, 2009-06-11 01:50.
Hello again, i have another little thing that might be helpful.
When you are doing the clam quest by Raznajar Isle and the sunken ship, be on the watch for "Deepstrider Giant" = 39 Elite. After running away,i looked him up on WoWhead and It turns out that he wanders the entire area. He has about 4k hp and he seems to only drop about 1-2 silver.
well i just thought that this might help someone.
your favorite(almost there)mage,
At the last section of this
Submitted by Maw on Sat, 2009-05-16 21:20.
At the last section of this guide, Badlands:
Why not accept "Badlands Reagent Run" while in Kargath, and get the 5 Rock Elemental Shards while you're killing Lesser Rock Elementals, as you'll be killing those for Small Stone Shards on your way back to Lotwil Veratius anyway?
Small things like that is what will make this guide even better!
I've always felt that Jame's
Submitted by qillerdaemon on Sat, 2009-06-13 15:21.
I've always felt that Jame's guides were best played as guides, not rule books, and you should, if it suits you, go ahead and take the quests Jame says not to take. The guides are the minimal you should play, but feel free to take on more for the fun or the XP. You're just going to take longer to get thru the guide. And the structure of the guides is to minimize leveling time.
That said, the problem with the reagent runs is that for it to make sense in taking, you have to farm to other two parts of the quest, the fangs and gizzards, and all three have extremely poor drop rates. The rocks, jaws, and wings drop at a much higher rate, and you'll probably have all of them well before you get all the shards, fangs, and gizzards. Sure, more XP and another quest completed, but it's going to take a bunch more time. But it's your choice.
46 BE BM Hunter. For the Horde!
Headhunting Quest
Submitted by Pakaw on Fri, 2009-05-15 22:01.
I'm not bashing on your guide at all, but on the headhunter quest it says to kill all the trolls in the area until you get 20 shrunken skulls. But there are only like three headhunter trolls in that whole area and they're the only ones that drop the shrunken skulls. Is that something new or is it a glitch? Great guide though
Re: Headhunting quest
Submitted by metrixis on Sat, 2009-05-16 08:57.
I had a problem with this earlier tonight. You actually have to go back to the left and around and there is a ramp up to a higher area and there are a lot of them there.
You can have quite bad luck
Submitted by Jahwo on Sat, 2009-05-16 16:33.
You can have quite bad luck with those guys, but as metrixis said, you should normally find enough of them around the ruins there.
Submitted by Altaro on Sun, 2009-04-26 17:28.
So, as you might know, heirlooms give extra experience for quests too prior 3.1, as a result of that, I am currently at level 34 at the start of this guide, (I did do some instance runs too of course ). I started my druid a few days before the release of 3.1, and am currently at level 34, so that just shows how fast your guides are But, I don't know whether to skip to the level 34 section of the guide, or to carry on from the start.
EDIT: I decided to carry on from 31, and am at 37 right now, at the 35 section of the guide, if there is any part of the guide that I can skip, please let me know because I don't want to skip places with quests that I would need later on in the guide.
Jame's advice is usually to
Submitted by Jiyambi on Mon, 2009-04-27 01:36.
Jame's advice is usually to stay with the guide unless you start killing gray mobs or doing gray quests. However, you can (and I think, should) skip sections if you are ahead and you really hate a specific area. For example, when leveling my druid I was like 5 levels ahead, so I skipped Silithus and Winterspring completely.
If you are using the addon, you can always use Lightheaded to check if a quest has follow ups. If it doesn't, then it's safe to skip it!
Submitted by Ziod on Fri, 2009-04-24 16:18.
So, im really enjoying the guide.
Just one thing, is there anyway you'd be willing to add in the approx. time it took for each lvl?
druid trainer?
Submitted by thebassoon on Fri, 2009-03-27 05:35.
I've noticed that you say to return to Orgrimmar to restock and train, etc. I'm having a problem because I'm a druid, and there's no druid trainer there. So I have to go to Thunder Bluff instead. Maybe there needs to be a disclaimer or Orgrimmar needs to be changed to "Race's major city" or something. btw I love your guides.
This is definitely an issue
Submitted by Jiyambi on Fri, 2009-03-27 07:34.
This is definitely an issue I dealt with as well. My advice for druids is actually very easy. Just remember that every time you heart, teleport to Moonglade first. This allows you to train there and then hearth to wherever you were supposed to go.
In the addon version, I am planning to include this and class-specific training for other classes who need it (mostly Paladins)
Paladin Trainer in Org.
Submitted by Clendestine on Sun, 2009-04-12 09:36.
There is a paladin trainer in Org now. He's right next to Thrall in Grommash Hold. Only classes that don't have trainers in Org now are DK's and druids. Both of which have teleport abilities to their home locations (Ebon Hold and Moonglade, respectively) to train.
Freaking lame, I wish I had
Submitted by Jiyambi on Sun, 2009-04-12 19:16.
Freaking lame, I wish I had known that while leveling my pally!
9. Run back to Freewind
Submitted by Syladind on Thu, 2009-03-26 02:48.
9. Run back to Freewind Post, fly to Thunderbluff. In Thunderbluff go south to the Hunter Rise and turn in the quest [30]Steelsnap, get the follow up [37]Frostmaw, you can destroy the Kodo Skin Parchment you just got from this quest.
Its Kodo Skin Scroll, not parchment. Just checked.
In Booty Bay on the docks, talk to Wharfmaster Lozgil and get the follow up [37]Gobline Sponsorship.
Goblin, not Gobline.
Quagmire totem quest
Submitted by aliasds on Sat, 2009-03-14 14:42.
First, thanks for great guides .
With regards to the totem quest, if you have multiple crocs under the effect of the totem, you get credit for both kills.
This persists through death, which means if you have 2 crocs under the effect and kill both of them, you get credit for having tested the totem a total of 4 times! Not sure if it's a bug, or if there are any other conditions; it has just happened to me. I ended up killing 5 crocs for the 10 tests, though you could probably get by with just 4, assuming you aggro them all at once
Submitted by Blaney on Mon, 2009-03-09 23:11.
I seem to be falling behind quite a bit! I'm doing every single quest that you say I should, however I don't do the optional sidequests. I came into Stranglethorn at level 32, I am now 33 (but only just dinged) and it says I should be 34 by now! I dont understand why I'm falling behind so much when I'm following your guide word for word!
Please advise why this is happening.
Shugnakh - Emerald Dream EU.
Level 39
Submitted by fadeaway on Sun, 2009-03-01 04:55.
You can shave off 1-2 minutes of running time by switching the order of completing your quests.
Run straight north while collecting the herbs for [36] The Witch's Bane, once you've got 9 you're at the murloc area for [35]Hungry!, collect the items, then do the escort quest, turn in Witch's Bane after completion.
last Arathi Higlands- part
Submitted by Aaron on Thu, 2009-02-26 17:53.
"Go west and kill every Stromgarde Defender/Troll Hunter/Vindicator you come accross until you have 5 Sigil Fragments. (They don't drop often, but when they drop you get like 3 at once or so)"
Maybe they changed a bit in that or i was lucky but i killed 2 and had 4x drops off the first 1 and 2x drops of the second kill so... I might be lucky or it's a change, don't know just thought it would be nice to post.
And now that I'm posting, once again, nice guide's Jame
lvl 80 Blood Elf protection paladin
lvl 80 Blood Elf protection paladin
lvl 36 druid... where can i
Submitted by TheEmtpyHero on Fri, 2009-02-20 11:08.
lvl 36 druid... where can i start in this guide and what quests do i need to get prerequisits? i love you guides used one for my mage it was awesome!!!
Salt Flats follow-ups
Submitted by fadeaway on Wed, 2009-02-18 03:33.
With the introduction of mounts at lvl 30, there are two easy quests which are quick to do and can be included in the first STV circuit.
After finishing the Salt Flats quests, also get the "[35]Encrusted Tail Fins" follow up.
Get the follow-up to [36]Wharfmaster Dizzywig, "[36]Parts for Kravel" as well.
Encrusted Tail Fins can be gathered from the murlocs when doing [37]The Vile Reef (no longer elite, but theres a lvl 40 mob near the tablet which might aggro), the mobs are 34-37 and can all be solo-pulled so they shouldn't be a problem even at lvl 33-34. If you have an underwater breathing potion it takes even less time.
Then follow the guide until you turn in your quests in Booty Bay, instead of hearthing immediately, take the boat to Ratchet, fly to Gadgetzan (4 min flight, get a cup of coffee or check your emails), and ride to the Salt Flats from there, turn quests in and hearth .
How many levels ahead is it safe to run?
Submitted by mmover on Mon, 2009-02-09 15:08.
Just wondering as a general rule how many levels ahead is it safe to run? I know you get less experience when the quests turn green and a lot less if they turn grey. I started on the 20 - 31 guide about 2 levels ahead and am still about 2 ahead at level 34. I just noticed that some of the quets I turned in only gave 1100 - 1200 xp and typically the quests you have assigned seem to be more in the 2500xp range. I like running ahead with my mage as he seems to struggle a little on some of these quests but I do not want to give up a lot of xp and suddenly find myself way behind. Just looking for a rule of thumb not an exact answer.
As always love the guide. I used it on my first 2 charecters a mage and warrior to get them to 32 and 33 and have made certain all of my friends have it. I can't wait to complete this phase and see what level 40 holds. You really have made this game more enjoyable for me. I was getting frustrated at level 22 becasue I was in the wrong area and having trouble finding quests I could do. I do not enjoy grinding, unless it is for a quest and may not have continued to play without this guide.
Well, the math on green
Submitted by Jiruru on Mon, 2009-02-09 17:54.
Well, the math on green quest exp goes like this
3 or 4 levels below you: 100% exp
5 levels below: 80% exp
Each additional level below -20% off the previous level, to a minimum of 10% (that is, grey).
So as long as you're only like, 6 or fewer levels above the quests, they're still worth doing. Once you're ahead you just keep getting further ahead it seems with this guide (I got ahead at some point and hit 70 in Terokkar forest thanks to that) but you shouldn't reach a situation where everything you're doing is trivial quests.
Rok'Alim the Pounder Spawn Points
Submitted by curlyqu on Tue, 2009-02-03 01:11.
In regards to the spawn points of Rok'Alim the Pounder, Jame's guide says wait at 17,37 until he spawns.
Well, to avoid having people wait for MUCH longer than needed, I want to point out there are actually three spawn points that you will need to check.
1. 17,37 Right outside Highperch, the one mentioned in the guide.
2. 10,21 Just Northwest of Highperch.
3. 26,40 Just Southeast of Highperch.
I have seen him spawn at points 2 & 3 and I see Jame as well as Thottbot say that he spawns at 17,37. Hope this saves someone some time. Here's a link to a map with the spawn points for those who don't have coordinates. In case you can't read the map, the yellow squares that are FILLED in are his spawn points. Spawn Points!
Oh and since this is my first comment, gotta say it. Thanks for the guides Jame! First time I used this site for leveling was when I created my death knight. Got me 55 - 80 in only a few days played time with little rested experience! From the constant instance runs I would do while leveling, I was even able to hit 80 BEFORE the END of your Grizzly Hills guide! Currently leveling a retribution paladin. Gonna be using these guides till the end of my time playing World of Warcraft, thanks again!
I'm currently writing the
Submitted by Clearasil on Sun, 2009-02-01 14:26.
I'm currently writing the addon version of your guide, and you I notice quite some things while doing this . Mostly small things tough, like it says Scepter of Light in your guide, but it should be Sceptre of Light.
Also maybe it's good to skip the quest Gelkis Alliance? Because it just gives about 370xp and you need to kill about 50 centaurs. It's just a grinding session in disguise. Maybe put a note that if you are x bars away from level x that you can skip this step? Just an idea ^^.
Faldir's Cove
Submitted by Cralis on Wed, 2009-01-28 17:43.
Hey Jame!!
Having levelled many chars using your guides, I absolutely love them, they are amazing.
However recently i came across Faldir's Cove. I presume you know about this place? It is south of Stormgarde keep (Arathi) and it contains a few short quests.
Recently on my rogue I decided to do the quests there, since I was near anyway. And it turned out to be pretty neat. The quests there take around 40mins, and there is around 20k worth of quest experience alone. I average'd 40k exp/hour while doing them, which seems to be a fair rate at this level.
They would fit in perfectly in here:
Take the Zeppelin to the Undercity, go to the Undercity and take a bat ride to Hammerfall, Arathi Highlands.
Get the following quests:
[40] Call to Arms
[40] Foul Magics
[40] The Broken Sigil
[40] The Real Threat
Mount up and ride to Stromgarde Keep. As you enter go left at the first occasion.
Before entering Stormgarde Keep you could go round it and go to Faldir's Cove (at least thats what I did).
I don't know if you need any more quests, but these few sure seem worth it.
Stranglethorn pages
Submitted by Ghalleon on Tue, 2009-01-27 23:47.
I think you should say for people to put the pages into their bank to save room because you don't actually need the pages for a long time, then somewhere on the next guide when you need them you could say to take them out of your bank. Because I followed this guide and had all the pages sitting in my inventory the rest of this guide and they took up a whole bag of my inventory space.
change of directions
Submitted by Ghalleon on Mon, 2009-01-26 09:36.
right after hitting lvl 40 on your guide step 2 says:
"When you are done, mount up. Go southeast, back to Mudcrush Durtfeet (35,38). Turn in [36] Hungry! then ride to the Shady Rest Inn "
It should say southwest. he is almost directly west of you at this point, slightly south. not southeast.
Pendant of Myzrael
Submitted by Dlittlejohn on Thu, 2009-01-22 05:07.
Are we going to use this at all?
Hmm. Crappy internet + Low RAM = getting owned in every contested area in the game =p
Revenge of the Yetis
Submitted by Vocabulary on Mon, 2009-01-19 15:35.
So, I am currently moving through the guide, and have found myself a bit behind after getting the Rod of Helcular on my 3rd yeti kill. I have now gone to freewind post to find the quest "Family Tree" unavailable (Due to me still being level 31, 5 bars from 32). Is there any possibility of a small optional quest circut for those people who get the rod early, or will I just need to grind or do instances.


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By Cara Nissman Sep 24, 2012 0
When Autism and Mental Health Issues Collide
First in a series of articles on mental health.
John was fuming. He hoisted the 75-pound cement planter, then dropped it with incredible force. As he shattered the bluestone on his family's porch, he also crushed Julie Froehlich Tracy's hopes that her son's aggression would just go away with time.
John had the hallmarks of high-functioning autism as a child. He had poor motor skills, sensory issues, and unusual mannerisms. Yet he was very bright and talkative. He shared his toys with others as a child. He took good care of animals as a member of his local 4-H program.
As he hit puberty, though, he had trouble maintaining friendships. Ongoing bullying caused him to become withdrawn. Anxiety medication did not help much. Then the mood changes began.
He started violent arguments over trivial things. He lashed out often and left bruises all over his mother's body. He was always remorseful afterwards, alarmed by his lack of self-control.
"I don't know why I keep doing this," he said after one violent outburst landed him in the hospital. "I have to quit doing this. I'm scared. I'm going to end up in jail."
But what caused the volatility that sparked her once selfless child with autism to become dangerous in their home would take even longer for Tracy and her family to uncover.
John was formally diagnosed with autism in middle school. But it wasn't until recently after years of emergency room visits, medication missteps, and police confrontations that the 20-year-old received an additional diagnosis of bipolar disorder.
"A mood disorder was developing, but we had never thought of mental illness," Tracy said. "We just thought John's autism was getting worse. But he was becoming psychotic."
Looking Beyond Autism
What the Tracy family experienced on the road to diagnosis points to a growing challenge in the autism community: A number of people with autism also have some form of mental illness and the illness can go inadvertently untreated if believed to be just another characteristic of autism.
Indeed, studies within the past 15 years have shown about 70 percent of people with autism spectrum disorders may meet criteria for what are known as comorbid mental health disorders described in psychiatry's diagnostic manual, the DSM-IV. (This percentage may change when the DSM-5 comes out in 2013.) One 2011 study from the University of Gothenburg in Sweden found about 70 percent of young adults with Asperger syndrome had experienced at least one episode of depression.
Part of the reason it is so hard to separate out mental illnesses from autism is that autism is still not fully understood and looks different in each person.
"We have so much more to learn about the parameters of autism, it's hard to know at what point a person should receive an additional diagnosis," said Dr. Ken Duckworth, medical director at the National Alliance on Mental Illness. "But there are people who have all of the symptoms of a mental illness in addition to the autism that warrant additional diagnoses."
Onset of mental health disorders also often occurs at the same time young adults experience rapid developmental changes and increased social pressures, said Beth Yurman, a licensed psychologist at Spectrum Services in New York City. This can lead parents to think some of their youth's issues are just part of growing up with autism rather than a separate challenge warranting intervention.
A student with autism may start to stick out among his middle school peers for his lack of social graces, for example, and become the brunt of bullying, Yurman said. This can start the student on a downward spiral of feeling frustrated, hopeless, overwhelmed, anxious or angry.
Bullying prompted Tracy's son to withdraw after years of being the quirky, funny younger brother of a popular track and football athlete.
"School started to become a very significant stressor in John's life and he became very angry and irritable," Tracy said. "We thought it was just adolescence and that we would get through it. But we were really seeing cycles of rage in a person who was becoming severely mentally ill."
The mood changes Tracy witnessed occurred without much warning or a clear trigger.
"It was so tricky," she said. "Sometimes he seemed so good. Then we would be sitting at the dining room table and he would just explode."
Abrupt changes in behavioral patterns without substantive situational changes are often red flags of mental illness, Duckworth said.
"Clinicians are reluctant to give additional diagnoses because people with autism can have some trouble regulating their moods," he said. "But if a pattern of mood changes emerges and it is unrelated to environmental changes, such as a family move, I would wonder if there were also mental illness." It is important to recognize that those with lower cognitive functioning are likely to exhibit ongoing problems with aggression that would not be related to bipolar disorder, Duckworth added.
"In people with and without autism, bipolar disorder also has an element of periodicity to it," he said. "If a person is frustrated or aggressive on a regular basis, he would not fit the profile of a person with an independent bipolar diagnosis."
Assessing Comorbidity
The DSM-IV precludes clinicians from diagnosing some comorbid conditions in people with autism spectrum disorders. But that doesn't mean you shouldn't discuss these issues with a doctor if you believe they merit intervention beyond what may come with an autism diagnosis.
This is particularly important if you have a family history of mental illness. A 2008 small Japanese study found that 37.5 percent of individuals with autism and a mood disorder had a family history of mood disorders. Tracy said there is schizophrenia and bipolar disorder in her husband's family background.
Note how these mental health issues may show up in young adults with autism:
- Anxiety disorders: Youths with autism who have additional anxiety issues, such as social anxiety disorder or obsessive compulsive disorder, may withdraw more than usual from others and shy away from activities that may cause concern rather than put themselves into a situation in which they may fail, Yurman said. They may show increased behavioral inflexibility and retreat even further into their restrictive interests. "Someone with OCD who does not have autism typically won't want to have the intrusive thoughts that compel him to engage in those behaviors," she said. "But someone with autism may be soothed by them."
- Depression: Young adults with autism who develop depression may also show an increased lack of motivation to interact with others, said Nick Garcia, a licensed psychologist at California Spectrum Services in Bakersfield. They may pull away from others because they are tired of trying to conform to social norms they don't understand and of being humiliated. "They can become despondent because they cannot connect with others," Garcia said. "They lack self-awareness, though, so they may cry and not understand why they are crying. They may not be able to explain why they are upset." They may become less interested in their favorite activities, but show an increase in repetitive behaviors. They may also exhibit self-injurious behaviors, especially if they have trouble communicating their needs. "You may see more anger, with someone hitting his head against the wall, as opposed to sadness," he said.
- ADHD: Young adults with autism who have ADHD may show high distractibility and seem extremely disorganized, Yurman said. They may exhibit inattention that is unrelated to the overstimulation they may experience with autism. "They can also be very forgetful," she said. "I know college students who can't remember what their professors said in class. Or they say, 'My roommate is really annoyed with me because I can't stop fidgeting and it drives him nuts. But I've tried to stop and I can't stop.'"
- Bipolar disorder and schizophrenia: As Tracy's son experienced, young adults with autism and bipolar disorder may demonstrate cycling inflated and deflated moods unrelated to other life experiences, Duckworth said. They may have reduced tolerance for frustration. They may retreat further into their preferred interests. Young adults with bipolar disorder or schizophrenia may develop hallucinations, delusions and paranoid thoughts and engage in self-harm out of anger and exasperation because they cannot understand or explain what is happening to them.
After Tracy's son was admitted to a city hospital's psychiatric ward on a night he was particularly violent, he complained of seeing insects in his room.
"John said he saw ants on his toothbrush when he was at the hospital," Tracy said. "We thought he was saying the place was unclean, but he was hallucinating and having a severe psychotic break."
Treatment Options
There are therapeutic approaches to addressing mental health issues in young adults with autism. The problem is these methods have little research behind them that takes an existing autism diagnosis into account. Many medications are also prescribed "off-label"—used in a manner other than what's been approved by the Food and Drug Administration (FDA)—because of limitations in autism diagnosis and FDA approval. There is also a nagging disbelief among some members of the medical community that these challenges merit their own intervention independent of autism treatment.
"The big misconception is that symptoms of mental health disorders are just parts of a person's autism," Yurman said. "Some people think these issues are just a part of the disability that they cannot treat or change."
But there are researchers and doctors who are turning their attention to how to better tease out autism symptoms from those of mental illness for treatment. In fact, psychologists Leslie Deprey and Sally Ozonoff write in "Assessment of Autism Spectrum Disorders" that "although differential diagnosis is difficult, it is essential, as treatment of the [autism] symptoms alone will usually not result in improvement in the other behavioral or emotional problems that exist. Undertreatment or partial treatment can result in significant functional impairment."
A combination of Cognitive Behavior Therapy (CBT) and medication can help many people with autism and mental health issues, Yurman said. This involves changing young adults' patterns of behaving and thinking by making them aware of why such patterns are irrational and unproductive. Medications may alter mood and reduce impulsivity, among other functions.
But, as Tracy experienced with her son, it can take many years to uncover the appropriate treatment regimen.
John started out just taking the anxiety medication Risperdal, Tracy said. Then his doctor prescribed Abilify to address his increasing irritability. As he became increasingly aggressive, and his dangerous, destructive behavior warranted emergency room visits and stints in psychiatric wards, he received more intensive treatments. He had to go on a benzodiazepine drip at one point despite the risk of renal failure. "He had to be in four point restraints," she said.
Even that treatment was not enough to help John, though, so his doctor suggested Electroconvulsive Therapy (ECT). ECT, which involves stimulating a brief seizure by passing mild electrical currents through the brain, has been demonstrated to be effective as treatment in severe mental illness, especially when other interventions have proven unsuccessful. However, ECT has been stigmatized by a history of abuse and the popular image of "shock therapy," a situation some researchers feel interferes with its use with patients who might benefit. Recent research into the use of ECT with autistic patients and patients with intellectual disability points to potential efficacy in the treatment of severe conditions. As with any medical intervention, the use of ECT should be discussed thoroughly with a knowledgeable medical practitioner.
The ECT was followed with the mood stabilizer Lithium and Clozaril, which is a last-resort antipsychotic often prescribed for people with schizophrenia. ECT and the combination of drugs finally made a difference.
"The doctors were trying so hard to take care of him," Tracy said. "They had tried everything else. The effect was almost immediate after starting the course of ECT. It was dramatic. He now has much of his gentle, kind, thoughtful personality back."
John now lives in a residential therapeutic program and spends some weekends at home. He recently enjoyed time with his cousins at a wedding. Tracy is in the process of establishing a nonprofit program that would allow John and other young adults with autism and mental health issues in their 20s and 30s to live in a supported setting while participating in their community.
"We want to help John and others find some kind of independence," Tracy said.
Looking Forward
The pursuit of some form of psychiatric treatment for a young adult with autism and symptoms of mental illness is imperative, Duckworth said. Many of these mental health disorders, including bipolar disorder and schizophrenia, emerge in youths ages 18-25. Young adults with autism, therefore, may already be attending college or working in their communities when they show clear signs of additional mental illness, he said. Others may show signs when they are younger, as Tracy's son did, but not get adequate or appropriate treatment.
Without proper treatment, mental health issues can escalate and lead to injury of the individual and others around him. Indeed a college student with autism was reportedly shot dead on recently by police officers who responded to a 9-1-1 call placed by the 20-year-old's grandmother. She reportedly told the dispatcher he was depressed and suicidal; she wanted an ambulance to take him to a hospital. But police officers with guns arrived instead.
Tracy hopes others will learn from her experience and investigate emerging mental illness early before anyone gets hurt.
"I don't know what the future holds for John, but I am glad he is alive, I am alive, and he is becoming more stable with the right combination of medication and psychological support," she said. "Others should not be fooled into thinking these things pass. They can get worse and worse without treatment."
If you suspect you or a young adult you know may have a mental health disorder in addition to autism, be sure to seek the advice of more than your primary care physician. "A psychiatrist [in addition to a primary care provider] should be involved in determining treatment," Duckworth said. "Individuals with autism, their parents, schools, and communities do not have to do it alone. You need to have a comprehensive team working together."
Next: Mental Health Concerns in College Support Programs for Students with Autism


text:
Sale placed on disabled list with flexor muscle strain
Left-hander felt soreness following 127-pitch outing against Boston
DETROIT -- Chris Sale was placed on the 15-day disabled list for the first time in his career prior to Tuesday's game against the Tigers at Comerica Park with a flexor muscle strain in his left arm, as described by White Sox general manager Rick Hahn following Monday's 3-1 victory against Detroit.
The news sounded like the greatest possible relief for the team and Sale, who underwent an MRI on Monday night. The preliminary results showed that the ligament looks excellent.
"So, at this point, we figured we are much better off having him miss the start here in Detroit and miss the start against Tampa Bay and then re-evaluate," Hahn said. "Hopefully, the recovery from this goes as smoothly as the last couple of times we've dealt with this and he's able to take the ball when his 15 days are up.
"It's a big, big relief to Chris. Everything he described was consistent with the pain in terms of the location and the width of the location where he felt discomfort with what he's experienced before. At the same time, I think in large part due to how many incidents we've seen of ligament damage already this year, which is something that Chris referred to a couple of times when we talked today, it was very important for us to get this film.
"First, so we know what we are dealing with and confirm our suspicions," Hahn said. "And two, almost as importantly, that Chris can rest easy and know that he's structurally sound and it seems we are dealing with an issue we got through fairly well in the past."
Left-hander Charlie Leesman, recalled from Triple-A Charlotte, will replace Sale in the rotation on Tuesday, with right-hander Andre Rienzo getting the call on Wednesday. Hahn would not commit to anything beyond those two starts, just as he wouldn't guess as to how long Sale will be sidelined.
"There's certainly at this point no reason to believe it's going to linger beyond the 15 days," Hahn said. "We could have tried to push him back a few days and a decent chance he would have been able to take the ball maybe against Tampa Bay. Again, it's not worth it."
Sale has a 3-0 record with a 2.30 ERA in four starts this season. After throwing a career-high 127 pitches during his fourth start Thursday night at home against the Red Sox, during which Sale and Jon Lester carried no-hitters into the sixth, Sale admitted to MLB.com to being a little more sore than usual because of his pitch total and the high level of competition. But it was nothing out of the ordinary as of Friday.
When asked if the 127 pitches contributed to Sale's injury or even could be considered the cause, Hahn said that he's "not smart enough to know if it's the cause."
"There was certainly no indication at any point before that start or during that start that he was in the least bit of jeopardy of doing any damage to himself," Hahn said. "As you can tell from this decision here today, we are going to do everything in our power to protect him for the long term. This is about making sure we get out in front of any issues and make sure he's in the best position to have success and stay healthy for an extended career as opposed to worry about a start or two here or there.
"As for the cause, I don't know the cause. But I do know we are not going to mess around with this guy and send him out there if he doesn't feel 100 percent or is experiencing any soreness."
Monday's pain was in a similar area behind a 2012 problem, when the White Sox took Sale from the starting rotation and moved him into the closer's role. That move also happened in Detroit, and Sale didn't start from May 1-12 but made one relief appearance during that time.
Eventually Sale argued his way back into the rotation and finished his inaugural season as a starter with a 17-8 record and a 3.05 ERA over 192 innings. The White Sox gave him an extra day whenever they could over the course of 29 starts and had another break for him that season from July 3-15.
In '13, with Sale established and under contract for five years at $32.5 million, the White Sox loosened the tight control on him a little bit. Sale worked 214 1/3 innings over 30 starts, but was out of action from May 17 to June 2 because of a sore shoulder.
Having this break does not seem unusual for Sale. The White Sox and Sale are relieved to know the cause and hope he bounces back as quickly as he did in the two previous instances.
"We were dealing with that earlier today, trying to figure it out with Sale, but it's something we have dealt with before and you just don't want to take any chances," White Sox manager Robin Ventura said. "He got it figured out while the game was going on, so get him some rest and get him healthy.
"I was more concerned before the game. I knew he was going to get looked at," said John Danks, the winning pitcher Monday and one of Sale's close friends. "To hear that he's going to be OK and not miss too much time, that's great. It's big shoes to fill. He's one of the best pitchers in the game and it wouldn't do us any good to lose him. Fortunately, we're not going lose him for too much."


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Olanzapine Drug
Chinese strategy: Dr Reddy's outsources part manufacturing to local parties
The company which won the tender to market Olanzapine drug in China, is expected to launch it beginning next year, the official said.
The company which won the tender to market Olanzapine drug in China, is expected to launch it beginning next year, the official said.
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