People with OCPD will discover ways to alleviate the tension in the mind. So if, for example, I'm a germaphobe, if I wash my hands for 90 seconds under scaldingly hot water, then my fear of germs will calm down. The compulsions can be completely non-visible or even not behaviors at all. They can be things that you do in your head. And oftentimes people recognize that the compulsions are actually very irrational.