There's few things more theraputic than to open up ZBrush, start with nothing but a polysphere and just let my mind wander.
Update 1: I extruded a basic neck shape from the head, made it a dynamesh and sculpted in the neck/shoulder details. Also made a few changes to the head. Brushes used: Standard, ClayTubes, Smooth and Move.
Update 2: Bumped up Dynamesh resolution a notch and added fine details. Brushes used: Dam Standard, Trim Dynamic and Brush Alphas.
Programs used: ZBrush (modeling) / 3ds Max/Corona (rendering)