OCD is easier understood as the anxiety loop disorder. You have the "obsessions," which are the concepts your anxiety fixates on, and then the "compulsions," which are the actions you take to alleviate that anxiety, and the problem is that once you do the compulsion, your brain doesn't actually let go, it just waits a minute and then repeats the thoughts of anxiety, forcing you to do the compulsion all over again.
One example is, if you've experienced a break-in, and you have OCD, you might keep checking the door locks over and over, because what if you missed something and you were wrong and the door isn't actually locked. This could go all night long if it's a severe enough case. Hence, OCD is often called the "doubting disorder."
If you don't fixate on the concept of contamination, you probably won't be particularly neat or clean. Hell, even if you are fixated on that particular anxiety, you can still end up with a disgusting living space, because, for instance, you might get stuck cleaning the same drain over and over because what if it has mold and you weren't thorough enough, and you get so fixated on the drain that you end up neglecting the expired food in your fridge. It doesn't make sense, you're afraid of mold but you got a fridge full of it, because your brain won't stop blaring alarms about the mold in the sink specifically. And you're fully aware it's irrational, which is probably the most maddening part.
It's like a crazy loud fire alarm that goes off and won't stop until you leave the house; you know damn well there's no fire, but it's much easier to just leave the house every thirty minutes for no reason than it is to try to go about your business with that earsplitting alarm. Unfortunately that's an exhausting way to live and you'll end up neglecting yourself in a lot of ways.
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