A good way to put it in lay terms would be as follows: "With OCD, certain things MUST be done. Washing hands several times with several bars of soap, twisting the door handle three times before opening the door, having to take numbered breaths before going through a door or down stairs, the list is varied. It is a powerful psychological imperative, with severe emotional reaction if certain behaviors or situations are not adhered-to."
For whatever reason, the individual has behaviors and/or rituals that must be conducted or the individual will fixate on not having done them, to the point of debilitating anxiety.