The classic New York accent is not as distinct or as prevalent as it once was, but there are plenty of native “New Yawkers” who not only have it but consider it a curse.

“It humbled me,” Mr. Ramos, a television reporter at WPIX-TV, said of his diagnosis.

Those who seek professional help to conquer their accents make similar complaints, like, “ ‘People don’t understand what I’m saying,’ ” said Sam Chwat, who is considered the dean of speech therapists. “ ‘I’m stigmatized by the way I speak.’ ‘I’m tired of people imitating or ridiculing the way I speak, or saying I sound “cute.” ’ ‘My accent seems to imply negative characteristics.’ ”

Miss LoGiudice’s accent didn’t matter when she was growing up in Howard Beach, a heavily Italian neighborhood in Queens where dropping r’s in words like doctor (doctuh) and water (wawtuh) just happens to be the way many people talk.

“I grew up with people who could be the cast of ‘Jersey Shore,’ ” Miss LoGiudice, 27, said. It was not until she got to Wesleyan University that she realized how much her speech pigeonholed her. And as a young actress who is “tall and Anglican-looking,” she worried her accent would be a roadblock. “If I had looked like Meadow Soprano,” Miss LoGiudice said, “I wouldn’t have had to worry about my accent.”

The accent was rarely an asset but has become more of a handicap in an era of globalization, when people and jobs are more mobile and a more generic identity can be seen as an advantage (think Michael R. Bloomberg shedding his Boston twang).