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I don't think there's anything needy or pathetic about sharing this with your therapist -at all. It sounds like you're feeling insecure about the relationship and need reassurance -par for the course.
I think not dealing with the relationship is like ignoring the elephant in the room and presumably most CBT therapists would address it to some extent or another. But I think the best place to do that is in session. The only problem here, as I see it, is not allowing a give and take between you and your therapist (and hearing tone, and seeing body language), in real time, moment to moment interaction, which I think would just be far more effective in, precisely, getting your needs met.
Maybe you can journal about these feelings to get them out, try to make sense of them, and then bring those feelings and thoughts into therapy, where they can be worked on.
I don't think you're acting like a 5 year old, or this is necessarily (though maybe) about a child not getting needs met (but I'm one who just doesn't think about it this way), I think this is you and your *current* needs. Your needs as a 5 year old were different in so many ways. Right now you need reassurance from your therapist and perhaps to share how vulnerable you're feeling within this relationship.
So I don't think there's anything wrong with your feelings or expressing them to your therapist --just better to do it during session, not necessarily because of 'boundaries' but because I think it would be more effective for you.
If you're having trouble feeling he's still 'there' between sessions and you feel you need some sort of reminder that he is, maybe you can share this with him and he can offer some suggestions as to how you can feel reassured of his caring about you between sessions. I've heard of people here leaving something of theirs in the therapist's office or taking something with them that signifies in some way the therapist's presence and care.
I wouldn't worry about him judging you for this, but it's definitely something to talk about -about how to get your needs met that would be most beneficial for you and would work within the parameters of this type of therapy.
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