In well-controlled epilepsy patients who suffer an unprovoked seizure with medication compliance, what would prompt you to increase their anti-seizure medication?

If the seizure was really unprovoked (no skipping medications, no intercurrent illness, no severe sleep deprivation or unusual activities, etc.), then the treatment should be increased. That could mean increasing the current dose(s) or adding an adjunct, depending on what the patient was taking (and...