This study discussed teaching English Vocabulary to students with intellectual disabilities. This study is aimed to explain how the teacher face the difficulties in teaching vocabulary. Secondly, to describe the teacher strategies in overcoming the difficulties. This research used qualitative method and descriptive research design. Data were collected through classroom observation, interview, and documentation. To analyze the data obtained, the researcher used techniques of data analysis, namely; data reduction, data display, and drawing conclusions or data verification. The research participant was the English Teacher at SLB Negeri Pati. The results of the study showed that in mentally impairment and hearing impairment classroom teacher can teach English Vocabulary. To teach English Vocabulary in Intellectual Disability Learners the teacher write down a few vocabs about the item around them and repeat the vocab over and over again. The difficulties faced by teacher is student with disabilities lack of understanding and remembering Vocabulary that teacher taught. So to overcome these difficulties, the teacher makes a video with pictures, vocab, and how to pronounce them. The video was sent to parents of students for additional learning at home.