This study investigated the student-researcher’s experiences of engaging in referential and non-referential piano improvisations as a tool for self-care. Moustakas’ heuristic inquiry (1990) provided a frame for the research process via the six heuristic stages. The data collected consisted of six piano improvisation recordings, of which three were referential and three non-referential, and their corresponding self-reflection journal entries. To gain more insight, reflections were added after listening back to each recorded improvisation. For data analysis, open, axial, and selective coding (Neuman, 2006) procedures were used to identify themes that emerged from the journal entries. Findings were organized into three main categories: (a) setting the tone for beginning; (b) trusting the researcher’s inner discourse; and (c) self-care and self-awareness. The creative synthesis consisted of a referential piano improvisation which revolved around the researcher’s experience of the whole process of this heuristic study. Implications for personal self-care and personal music therapy practice, as well as for practice of other music therapists, education, and research are discussed.