Recently, I've done some of these that are much larger, but these are the small ones -- I start with toning the watercolor paper, then write all over it, then add collage (I just about always dye my colllage papers) and then more acrylic paint, inks, graphite, etc.  I am left-handed, so sometimes I draw shapes with my right hand.  Sometimes I add more writing at the end.  These are fun to do and interesting both to plan them ahead or just let what happenes happen.