A durable weighted vest insert to produce a calming effect in users. The insert has a plurality of sealed compartments having weights in an anterior and posterior portion. Weight distribution is configured to provide a uniform and even pressure predominately over the upper muscles of the back and high on the pectoral muscles (i.e., an anterior and posterior shoulder girdle) when placed on a user and can be determined as a percentage of a user's body weight. The insert has mechanical fasteners such as pressure sensitive fastening materials, zippers, buttons, ties or hooks on an exposed surface. The invention can also include a vest having an interior surface comprising opposing mechanical fasteners placed corresponding to the fasteners of the insert whereby the insert can be incorporated and concealed within the vest.