My girlfriend uses it when she's having troubles sleeping, she says that it really does put her to sleep quite well.
However, she says that there is a bit of adjustment, when you wake in the night or in the morning, there is a slight moment of panic when you don't have your strength back and are in a sleepy haze, because you have a bit of trouble moving around. But you get used to that.
When you receive it, you have to tie the weighted insert down with cloth ties inside the washable cover. I wish there were more of these on the inside though, the weighted part of the blanket can get too out-of place for my liking, and I also don't trust the ties to hold up for very long if you're not careful moving it. It definitely takes two hands and a good grip to get the blanket on top of you.