There is a debate as to whether or not hoarding should be considered with other OCD symptoms.
OCD sometimes manifests without overt compulsions, referred to as Primarily Obsessional OCD.
The "forbidden thoughts factor" correlated highly with intrusive and distressing thoughts of a violent, religious, or sexual nature.
The "cleaning factor" correlated highly with obsessions about contamination and compulsions related to cleaning.
People rely on compulsions as an escape from their obsessive thoughts; however, they are aware that the relief is only temporary, that the intrusive thoughts will soon return.
Obsessive Compulsive Personality Disorder Case Study
Some people use compulsions to avoid situations that may trigger their obsessions.
OCD without overt compulsions could, by one estimate, characterize as many as 50 percent to 60 percent of OCD cases.
Some people with OCD perform compulsive rituals because they inexplicably feel they have to, while others act compulsively so as to mitigate the anxiety that stems from particular obsessive thoughts.
In such situations, it can be hard for the person to fulfill their work, family, or social roles.
In some cases, these behaviors can also cause adverse physical symptoms.