Yes, I use an external dil with a wide base (Vixskin Leo) mostly, base hits my clit just right. Sometimes I insert another dil in my vagina (Tex or Little Hotie) doubles also work.
Mentally, yes. Physically no, it doesn't make me cum. But the mental build-up is sometimes enough stimulation so that when I finally remove my harness, I'm warmed up and can get off faster.