###Human: My mother is an epileptic patient. I want to know if her present treatment is right? ###Assistant: Hello. Your mother's situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. The valproate plasma levels should also be performed, to know if she is being treated with the right doses of Encorate Chrono. I would recommend performing a brain MRI and a careful EEG to establish any possible cause of these seizures, which could be treated by a possible brain intervention. I would also reconsider the treatment with Escitalopram (Nexito), as it is an SSRI(Selective Serotonin Reuptake Inhibitor) and in rare cases has been shown to aggravate the seizures. Hope it was helpful.