In a small saucepan combine the dried elderberries (and any of the optional ingredients) and water. Heat over medium/low heat at a low simmer for about 45 minutes to an hour. The water will reduce by about half.
When the liquid is finished simmering, mash up the elderberries with a potato masher to get out any extra juice. Strain liquid through a mesh sieve into a glass jar and let cool.
When the mixture is no longer hot but still warm, add the raw honey and stir to combine. Put lid on jar and place in the fridge. Mixture will last about 1 month refrigerated.