How do you manage anxious children who are somatically focused and do not tolerate SSRIs?  

Treatment of an anxious child ideally involves a holistic bio-psycho-sociocultural approach to understand the nature and underlying reasons for the anxiety, and importantly, the family's response and accommodations to their child's anxiety. So individual CBT-focused therapy can be very helpful, but ...

Children, like adults, are not anxious for no reason. Before giving a medication I would refer the child for psychological evaluation to find out what is making her anxious. We all know that children are complicated people, too, and we should treat them that way.